JEFF D MUDRICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116884

License Status

NOT RENEWED

Business

First Name

JEFF

Middle

Last Name

MUDRICK

Suffix

Business Name

JEFF D MUDRICK MD

Original Issue Date

09/08/2006

Effective Date

09/08/2006

Expiration Date

07/31/2008

City

MANHATTAN

State

Zip

66502

Ever Disciplined

LastModifiedDate

11/06/2008