ANITA JOAN JANSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068880

License Status

NOT RENEWED

Business

First Name

ANITA JOAN

Last Name

JANSEN

Suffix

Business Name

ANITA JOAN JANSEN MD

Original Issue Date

06/25/1984

Effective Date

06/25/1984

Expiration Date

07/31/1993

City

CORVALLIS

State

Zip

97330

County

OREGON

Ever Disciplined

LastModifiedDate

08/16/2007