License holder summary

Jordan Lysle Bailey is a Medical Residency Permit licensed to practice in Indiana. The address on file for Jordan Lysle Bailey is South Bend IN 46628. This licensed professional license is not current. The license was granted 05/31/2002 and expired on 06/30/2004.

Indiana

Professional Licensing Agency

Jordan Lysle Bailey
Medical Residency Permit
License number
11010968A
Date granted
05/31/2002
Date expires
06/30/2004
Class
Medical Residency Permit
Status
Expired
Address
South Bend IN 46628
indianalicensing.org
ID 5996370
LAST UPDATED 2024-02-07 22:11:14 UTC

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