JERROLD S FALK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048277

License Status

INACTIVE

Business

First Name

JERROLD S

Last Name

FALK

Suffix

Business Name

JERROLD S FALK MD

Original Issue Date

09/19/1973

Effective Date

09/19/1973

Expiration Date

07/31/1987

City

PORTAGE

State

Zip

49081

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006