JONATHAN BRYAN PURDY DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004986

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

BRYAN

Last Name

PURDY

Suffix

DPM

Business Name

JONATHAN BRYAN PURDY DPM

Original Issue Date

08/03/2000

Effective Date

01/31/2005

Expiration Date

01/31/2007

City

NEW IBERIA

State

Zip

70560

County

LOUISIANA

Ever Disciplined

LastModifiedDate

03/16/2007