BENJAMIN JORDAN MEYER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056747

License Status

CANCELLED

Business

Title

First Name

BENJAMIN

Middle

JORDAN

Last Name

MEYER

Business Name

BENJAMIN JORDAN MEYER MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2012

City

ZIONSVILLE

State

Zip

46077

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

02/03/2010