JORDAN EVAN BRAND MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130522

License Status

NOT RENEWED

Business

Title

First Name

JORDAN

Middle

EVAN

Last Name

BRAND

Business Name

JORDAN EVAN BRAND MD

Original Issue Date

06/07/2012

Effective Date

06/07/2012

Expiration Date

07/31/2014

City

SAINT LOUIS

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/17/2014