JORDAN C DESCHAMPS BRALY MD - Medical Doctor License in Oklahoma | # 036125901

JORDAN C DESCHAMPS BRALY MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125901

License Status

NOT RENEWED

Business

N

First Name

JORDAN

Middle

C

Last Name

DESCHAMPS BRALY

Suffix

MD

Business Name

JORDAN C DESCHAMPS BRALY MD

Original Issue Date

06/02/2010

Effective Date

06/02/2010

Expiration Date

07/31/2011

State

OK

Ever Disciplined

N

LastModifiedDate

11/14/2011