JARED L BINGHAM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

First Name

JARED

Middle

Last Name

BINGHAM

Business Name

JARED L BINGHAM

Original Issue Date

09/14/1999

Effective Date

09/14/1999

Expiration Date

07/31/2002

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006