KENNETH ALLEN JONGSMA DO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041259968

License Status

NOT RENEWED

Business

Title

First Name

KENNETH

Middle

ALLEN

Last Name

JONGSMA

Business Name

KENNETH ALLEN JONGSMA DO

Original Issue Date

09/29/1990

Effective Date

09/29/1990

Expiration Date

05/31/2000

City

SOUTH BEND

State

Zip

46614

Ever Disciplined

LastModifiedDate

09/27/2006