CHRISTOPHER JACOB POLE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000472

License Status

EXPIRED

Business

Title

First Name

CHRISTOPHER

Middle

JACOB

Last Name

POLE

Business Name

CHRISTOPHER JACOB POLE MD

Original Issue Date

11/05/2011

Effective Date

11/05/2011

Expiration Date

05/04/2012

City

MARYVILLE

State

Zip

62062

County

MADISON

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

07/02/2012