MARK E JERGENS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076311

License Status

INACTIVE

Business

First Name

MARK E

Last Name

JERGENS

Suffix

Business Name

MARK E JERGENS MD

Original Issue Date

11/07/1987

Effective Date

11/07/1987

Expiration Date

07/31/1993

City

GIG HARBOR

State

Zip

98335

County

WASHINGTON

Ever Disciplined

LastModifiedDate

09/20/2006