BRIDGET DIANA JONES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061290

License Status

NOT RENEWED

Business

First Name

BRIDGET

Middle

DIANA

Last Name

JONES

Suffix

Business Name

BRIDGET DIANA JONES MD

Original Issue Date

08/15/2016

Effective Date

08/15/2016

Expiration Date

10/13/2016

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

03/09/2017