JORDAN DANIEL LEGOUT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136238

License Status

NOT RENEWED

Business

Title

First Name

JORDAN

Middle

DANIEL

Last Name

LEGOUT

Business Name

JORDAN DANIEL LEGOUT MD

Original Issue Date

08/13/2014

Effective Date

08/13/2014

Expiration Date

07/31/2017

City

GAINESVILLE

State

Zip

32608

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/01/2017