JORDAN C DESCHAMPS BRALY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125901

License Status

NOT RENEWED

Business

First Name

JORDAN

Middle

Last Name

DESCHAMPS BRALY

Suffix

Business Name

JORDAN C DESCHAMPS BRALY MD

Original Issue Date

06/02/2010

Effective Date

06/02/2010

Expiration Date

07/31/2011

City

OKLAHOMA CITY

State

Zip

73112

Ever Disciplined

LastModifiedDate

11/14/2011