KORNELIA G JUERGENSEN MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

INOPERATIVE

Business

Title

First Name

KORNELIA

Middle

Last Name

JUERGENSEN

Business Name

KORNELIA G JUERGENSEN MD

Original Issue Date

04/18/2001

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023