MARK ANDREW JONKER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

INACTIVE

Business

Title

First Name

MARK

Middle

ANDREW

Last Name

JONKER

Business Name

MARK ANDREW JONKER MD

Original Issue Date

08/01/2013

Effective Date

08/01/2013

Expiration Date

07/31/2014

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/08/2014