JASON BRYANT ANDERSON Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****48

License Status

NOT RENEWED

Business

First Name

JASON

Middle

BRYANT

Last Name

ANDERSON

Business Name

JASON BRYANT ANDERSON

Original Issue Date

08/28/2009

Effective Date

01/09/2013

Expiration Date

01/31/2015

City

DECATUR

State

Zip

62521

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2015