KENNETH A JURIST MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070935

License Status

INACTIVE

Business

First Name

KENNETH A

Last Name

JURIST

Suffix

Business Name

KENNETH A JURIST MD

Original Issue Date

06/24/1985

Effective Date

06/24/1985

Expiration Date

07/31/1987

City

TROY

State

Zip

48098

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006