MARK E JERGENS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

MARK E

Last Name

JERGENS

Suffix

Business Name

MARK E JERGENS MD

Original Issue Date

11/23/1987

Effective Date

11/23/1987

Expiration Date

07/31/1993

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006