JEFFREY ALLEN HIMMELBERG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113510

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

ALLEN

Last Name

HIMMELBERG

Business Name

JEFFREY ALLEN HIMMELBERG

Original Issue Date

04/20/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

ASHLAND

State

Zip

68003

Ever Disciplined

LastModifiedDate

11/06/2008