JACK L STUMP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083271

License Status

NOT RENEWED

Business

First Name

JACK L

Last Name

STUMP

Suffix

Business Name

JACK L STUMP MD

Original Issue Date

08/19/1991

Effective Date

04/24/2014

Expiration Date

07/31/2017

City

BATTLE GROUND

State

Zip

98604

County

WASHINGTON STATE

Ever Disciplined

LastModifiedDate

11/01/2017