JIMMY DUANE BATES DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052110

License Status

INACTIVE

Business

First Name

JIMMY DUANE

Last Name

BATES

Suffix

Business Name

JIMMY DUANE BATES DO

Original Issue Date

11/14/1975

Effective Date

11/14/1975

Expiration Date

07/31/1987

City

PHOENIX

State

Zip

85015

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006