PAUL B JUERGENS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

PAUL B

Last Name

JUERGENS

Suffix

Business Name

PAUL B JUERGENS MD

Original Issue Date

08/25/1983

Effective Date

07/14/2020

Expiration Date

07/31/2023

City

CARBONDALE

State

Zip

62902

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023