JACK SPROUL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161894

License Status

NOT RENEWED

Business

Title

First Name

JACK

Last Name

SPROUL

Business Name

JACK SPROUL MD

Original Issue Date

08/09/2022

Effective Date

08/09/2022

Expiration Date

07/31/2023

City

DUNBAR

State

Zip

54119

Ever Disciplined

LastModifiedDate

11/30/2023