JERRY D BRANT Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****24

License Status

NOT RENEWED

Business

First Name

JERRY D

Last Name

BRANT

Business Name

JERRY D BRANT

Original Issue Date

01/01/1998

Expiration Date

01/31/1999

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006