JORDAN BRYANT INGRAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036170417

License Status

ACTIVE

Business

Title

First Name

JORDAN

Middle

BRYANT

Last Name

INGRAM

Business Name

JORDAN BRYANT INGRAM MD

Original Issue Date

05/28/2024

Effective Date

05/28/2024

Expiration Date

07/31/2026

City

PETAL

State

Zip

39465

Ever Disciplined

LastModifiedDate

05/28/2024