KENNETH ALLEN JONGSMA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036170801

License Status

ACTIVE

Business

Title

First Name

KENNETH

Middle

ALLEN

Last Name

JONGSMA

Business Name

KENNETH ALLEN JONGSMA DO

Original Issue Date

06/27/2024

Effective Date

06/27/2024

Expiration Date

07/31/2026

City

SOUTH BEND

State

Zip

46614

Ever Disciplined

LastModifiedDate

06/27/2024