License holder summary

Dr. JASEN WILLIAM GUNDERSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. JASEN WILLIAM GUNDERSEN is 14050 NW 14TH ST, STE 190 FORT LAUDERDALE FL 33323. This licensed professional license is current. The license was granted 06/02/2016 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. JASEN WILLIAM GUNDERSEN
Board Of Medicine
License number
M-13312
Date granted
06/02/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
14050 NW 14TH ST, STE 190 FORT LAUDERDALE FL 33323
idaholicensing.com
ID 48352015
LAST UPDATED 2024-04-18 07:45:26 UTC

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