JONATHAN D INGRAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118751

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

Last Name

INGRAM

Suffix

Business Name

JONATHAN D INGRAM MD

Original Issue Date

06/19/2007

Effective Date

12/02/2011

Expiration Date

07/31/2014

City

BEVERLY HILLS

State

Zip

90210

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

2013001941

Action

Revocation

Discipline Start Date

08/22/2013

Discipline Reason

After being disciplined by the states of Florida and Ohio.