JERRY MILTON INGALLS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038518

License Status

INACTIVE

Business

First Name

JERRY MILTON

Last Name

INGALLS

Suffix

Business Name

JERRY MILTON INGALLS MD

Original Issue Date

07/26/1963

Effective Date

07/26/1963

Expiration Date

07/31/1996

City

MONROE

State

Zip

53566

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006