JEFFERY D SIDEBOTTOM
Medical Practice at Augusta Ave, Chandler, AZ

License number
Florida 43694
Issued Date
Jun 7, 2011
Effective Date
Sep 26, 2014
Expiration Date
Aug 31, 2012
Category
Health Care
Type
Clinical Laboratory Personnel
Address
Address
2281 E Augusta Ave, Chandler, AZ 85249
Phone
(480) 621-5469
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

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JEFFERY D SIDEBOTTOM LLC

2281 E Augusta Ave, Chandler, AZ 85249

Registration:
Dec 21, 2010
State ID:
L-1648127-0
Expiration:
PERPETUAL
Member:
Jeffery D Sidebottom (Member), 2281 E Augusta Ave, Chandler, AZ 85249 (Physical)
Agent:
Alpha Legal Forms & More Inc,4500 E Speedway Blvd #31, Tucson, AZ 85712 (Physical)

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