JACK WAYNE BOWLING JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102354

License Status

NOT RENEWED

Business

First Name

JACK

Middle

WAYNE

Last Name

BOWLING

Suffix

JR MD

Business Name

JACK WAYNE BOWLING JR MD

Original Issue Date

04/21/2000

Effective Date

04/21/2000

Expiration Date

07/31/2002

City

WINSTON SALEM

State

Zip

27104

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

10/09/2006