JACK BUCHANAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061437

License Status

NOT RENEWED

Business

First Name

JACK

Last Name

BUCHANAN

Suffix

Business Name

JACK BUCHANAN MD

Original Issue Date

12/29/1980

Effective Date

12/29/1980

Expiration Date

07/31/1993

City

SALEM

State

Zip

97302

County

OREGON

Ever Disciplined

LastModifiedDate

09/20/2006