License Directory

Jerome Head Gundersen Md

Expired

Illinois license 036038757

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036038757
Status
Expired (Not Renewed)
First issued
November 26, 1963
License holder
Jerome Head Gundersen Md
Entity type
Individual

Classifications

More from the license record

Current term began
11/26/1963

Contact

Lacrosse, WI 54601
Wisconsin County