CLARENCE W JORDAHL JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063346

License Status

NOT RENEWED

Business

First Name

CLARENCE W

Last Name

JORDAHL JR

Suffix

Business Name

CLARENCE W JORDAHL JR MD

Original Issue Date

10/01/1981

Effective Date

10/01/1981

Expiration Date

07/01/1982

City

MILWAUKEE

State

Zip

53211

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006