Arizona
Board of Licensing
Jonathan David Ingram MD
Medical Doctor
License number
42654
Date granted
05/21/2010
Class
Medical Doctor
Status
Expired
Address
2390 West Congress, Lafayette LA 70506
arizonalicensing.com
ID 22522780
LAST UPDATED 2026-06-15 08:54:51 UTC
LAST UPDATED 2026-06-15 08:54:51 UTC