JONATHAN RODERICK DUTT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151311

License Status

ACTIVE

Business

Title

First Name

JONATHAN

Middle

RODERICK

Last Name

DUTT

Business Name

JONATHAN RODERICK DUTT MD

Original Issue Date

12/05/2019

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

04/08/2023