JASON BRYANT ANDERSON Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005420

License Status

NOT RENEWED

Business

First Name

JASON

Middle

BRYANT

Last Name

ANDERSON

Business Name

JASON BRYANT ANDERSON

Original Issue Date

07/20/2009

Effective Date

01/09/2013

Expiration Date

01/31/2015

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

03/09/2015