JON DREW SANDBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040177

License Status

NOT RENEWED

Business

First Name

JON DREW

Last Name

SANDBERG

Suffix

Business Name

JON DREW SANDBERG MD

Original Issue Date

11/22/1965

Effective Date

11/22/1965

Expiration Date

07/31/1987

City

SHELTON

State

Zip

98584

County

WASHINGTON

Ever Disciplined

LastModifiedDate

02/27/2007

Case Number

2004009386

Action

Refuse To Renew

Discipline Start Date

09/16/2005

Discipline Reason

DISCIPLINED IN WASHINGTON.