JUDD IVAN JARUDA PALONPON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083784

License Status

ACTIVE

Business

Title

First Name

JUDD IVAN

Middle

JARUDA

Last Name

PALONPON

Business Name

JUDD IVAN JARUDA PALONPON DO

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/18/2024