JACK LEELAND GREIDER JR Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053710

License Status

INACTIVE

Business

First Name

JACK LEELAND

Last Name

GREIDER JR

Business Name

JACK LEELAND GREIDER JR

Original Issue Date

10/14/1976

Effective Date

10/14/1976

Expiration Date

07/31/1993

City

ATLANTIC BEACH

State

Zip

32233

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006