JORDAN DANIEL LEGOUT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

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

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017