JASON BENJAMIN WYNBERG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112290

License Status

INACTIVE

Business

First Name

JASON

Middle

BENJAMIN

Last Name

WYNBERG

Suffix

Business Name

JASON BENJAMIN WYNBERG MD

Original Issue Date

09/08/2004

Effective Date

09/08/2004

Expiration Date

07/31/2005

City

OAK PARK

State

Zip

48237

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/09/2006