JERRY LEE HALVERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154184

License Status

ACTIVE

Business

Title

First Name

JERRY

Middle

LEE

Last Name

HALVERSON

Business Name

JERRY LEE HALVERSON MD

Original Issue Date

09/03/2020

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

OCONOMOWOC

State

Zip

53066

Ever Disciplined

LastModifiedDate

04/06/2023