JEREMY BOONE MCCUE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112511

License Status

INACTIVE

Business

First Name

JEREMY

Middle

BOONE

Last Name

MCCUE

Suffix

Business Name

JEREMY BOONE MCCUE MD

Original Issue Date

10/13/2004

Effective Date

05/05/2011

Expiration Date

07/31/2014

City

MADISON

State

Zip

53705

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/29/2014