VANCE R JERNSTROM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073861

License Status

NOT RENEWED

Business

First Name

VANCE R

Last Name

JERNSTROM

Suffix

Business Name

VANCE R JERNSTROM MD

Original Issue Date

10/01/1986

Effective Date

10/01/1986

Expiration Date

07/31/1987

City

OVERLAND PARK

State

Zip

66210

County

KANSAS

Ever Disciplined

LastModifiedDate

09/20/2006