JERRY W HUSSONG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091922

License Status

NOT RENEWED

Business

First Name

JERRY W

Last Name

HUSSONG

Business Name

JERRY W HUSSONG

Original Issue Date

09/22/1995

Effective Date

09/22/1995

Expiration Date

07/31/1999

City

SALT LAKE CITY

State

Zip

84240

County

UTAH

Ever Disciplined

LastModifiedDate

09/20/2006