JAYANT JAGANNATHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129605

License Status

NOT RENEWED

Business

Title

First Name

JAYANT

Last Name

JAGANNATHAN

Business Name

JAYANT JAGANNATHAN MD

Original Issue Date

02/14/2012

Effective Date

02/14/2012

Expiration Date

07/31/2014

City

BIRMINGHAM

State

Zip

48009

Ever Disciplined

LastModifiedDate

11/17/2014