JARED LUNDY MOSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137151

License Status

NOT RENEWED

Business

Title

First Name

JARED

Middle

LUNDY

Last Name

MOSS

Business Name

JARED LUNDY MOSS MD

Original Issue Date

01/23/2015

Effective Date

01/23/2015

Expiration Date

07/31/2017

City

SHREVEPORT

State

Zip

71115

Ever Disciplined

LastModifiedDate

11/01/2017