JEROME LANGSTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107450

License Status

NOT RENEWED

Business

First Name

JEROME

Last Name

LANGSTON

Suffix

Business Name

JEROME LANGSTON MD

Original Issue Date

07/11/2002

Effective Date

07/11/2002

Expiration Date

07/31/2005

City

DETROIT

State

Zip

48214

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/09/2006