JEFFREY R BARRA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

First Name

JEFFREY

Middle

Last Name

BARRA

Business Name

JEFFREY R BARRA

Original Issue Date

07/03/2002

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

ANNA

State

Zip

62906

County

GEORGIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/21/2023