JARED L BINGHAM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100852

License Status

NOT RENEWED

Business

First Name

JARED

Middle

Last Name

BINGHAM

Business Name

JARED L BINGHAM

Original Issue Date

08/03/1999

Effective Date

08/03/1999

Expiration Date

07/31/2002

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/09/2006