JARED L BINGHAM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036354

License Status

EXPIRED

Business

First Name

JARED

Middle

Last Name

BINGHAM

Business Name

JARED L BINGHAM

Original Issue Date

05/28/1997

Effective Date

05/28/1997

Expiration Date

06/30/2000

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006