JONATHAN B STALLKAMP Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108915

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

Last Name

STALLKAMP

Business Name

JONATHAN B STALLKAMP

Original Issue Date

04/01/2003

Effective Date

04/01/2003

Expiration Date

07/31/2005

City

BRYN MAWR

State

Zip

19010

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

10/09/2006