JACK R PERRY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138175

License Status

INACTIVE

Business

Title

First Name

JACK

Middle

Last Name

PERRY

Business Name

JACK R PERRY MD

Original Issue Date

06/04/2015

Effective Date

06/04/2015

Expiration Date

07/31/2017

City

FORT WALTON BEACH

State

Zip

32548

County

FLORIDA

Ever Disciplined

LastModifiedDate

04/12/2017