JON E CHRISTOFERSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

Title

First Name

JON

Middle

Last Name

CHRISTOFERSEN

Business Name

JON E CHRISTOFERSEN MD

Original Issue Date

06/22/2009

Effective Date

04/17/2017

Expiration Date

09/30/2020

City

OSWEGO

State

Zip

60543

County

KENDALL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021