COLLEEN L JAY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120467

License Status

NOT RENEWED

Business

First Name

COLLEEN

Middle

Last Name

JAY

Suffix

Business Name

COLLEEN L JAY MD

Original Issue Date

04/07/2008

Effective Date

05/18/2011

Expiration Date

07/31/2014

City

DYER

State

Zip

36311

County

INDIANA

Ever Disciplined

LastModifiedDate

11/17/2014