JEFFREY M LAWRENCE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077892

License Status

NOT RENEWED

Business

First Name

JEFFREY M

Last Name

LAWRENCE

Suffix

Business Name

JEFFREY M LAWRENCE MD

Original Issue Date

09/22/1988

Effective Date

09/22/1988

Expiration Date

07/31/2005

City

VIROQUA

State

Zip

54665

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006