RUDOLPH H DE JONG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053874

License Status

INACTIVE

Business

First Name

RUDOLPH H

Last Name

DE JONG

Suffix

Business Name

RUDOLPH H DE JONG MD

Original Issue Date

11/19/1976

Effective Date

11/19/1976

Expiration Date

07/31/1987

City

COLUMBIA

State

Zip

29223

County

SOUTH CAROLINA

Ever Disciplined

LastModifiedDate

09/20/2006