License holder summary

Scott Jay Bullard is a Physician licensed to practice in Indiana. The address on file for Scott Jay Bullard is Daytona Beach FL 32118. This licensed professional license is not current. The license was granted 01/18/2001 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

Scott Jay Bullard
Physician
License number
01053555A
Date granted
01/18/2001
Date expires
06/30/2009
Class
Physician
Status
Expired Non-Renewable
Address
Daytona Beach FL 32118
indianalicensing.org
ID 6044400
LAST UPDATED 2024-02-19 19:33:40 UTC

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