BRITON PENN JORDAN MD - Medical Doctor License in Louisiana | # 036106969

BRITON PENN JORDAN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106969

License Status

NOT RENEWED

Business

N

First Name

BRITON

Middle

PENN

Last Name

JORDAN

Suffix

MD

Business Name

BRITON PENN JORDAN MD

Original Issue Date

05/14/2002

Effective Date

05/14/2002

Expiration Date

07/31/2005

State

LA

Ever Disciplined

N

LastModifiedDate

10/09/2006