BRITON PENN JORDAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106969

License Status

NOT RENEWED

Business

First Name

BRITON

Middle

PENN

Last Name

JORDAN

Suffix

Business Name

BRITON PENN JORDAN MD

Original Issue Date

05/14/2002

Effective Date

05/14/2002

Expiration Date

07/31/2005

City

JEFFERSON

State

Zip

70121

County

LOUISIANA

Ever Disciplined

LastModifiedDate

10/09/2006