JONATHAN SHEPHERD CROSS CAUDILL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146103

License Status

NOT RENEWED

Business

Title

First Name

JONATHAN

Middle

SHEPHERD CROSS

Last Name

CAUDILL

Business Name

JONATHAN SHEPHERD CROSS CAUDILL MD

Original Issue Date

05/11/2018

Effective Date

05/11/2018

Expiration Date

09/30/2020

City

OXFORD

State

Zip

38655

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

01/14/2021