JASON SCOT BRODY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110895

License Status

INACTIVE

Business

First Name

JASON

Middle

SCOT

Last Name

BRODY

Suffix

Business Name

JASON SCOT BRODY MD

Original Issue Date

03/02/2004

Effective Date

03/02/2004

Expiration Date

07/31/2005

City

MOUNT PLEASANT

State

Zip

29466

Ever Disciplined

LastModifiedDate

11/19/2008