JEROME D DERDEL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079435

License Status

INACTIVE

Business

First Name

JEROME D

Last Name

DERDEL

Suffix

Business Name

JEROME D DERDEL MD

Original Issue Date

09/26/1989

Effective Date

09/26/1989

Expiration Date

07/31/1999

City

STATE COLLEGE

State

Zip

16803

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

09/20/2006