KENNETH ALLEN JONGSMA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

Title

First Name

KENNETH

Middle

ALLEN

Last Name

JONGSMA

Business Name

KENNETH ALLEN JONGSMA DO

Original Issue Date

01/21/2025

Effective Date

01/21/2025

Expiration Date

07/31/2026

City

GRANGER

State

Zip

46530

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/21/2025