JORDAN MATTHEW BALTER DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119250

License Status

INACTIVE

Business

First Name

JORDAN

Middle

MATTHEW

Last Name

BALTER

Suffix

Business Name

JORDAN MATTHEW BALTER DO

Original Issue Date

08/21/2007

Effective Date

08/05/2008

Expiration Date

07/31/2011

City

HERCULANEUM

State

Zip

63048

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/07/2011