DERALD ELMER BRACKMANN MD - Medical Doctor License in California | # 036038594

DERALD ELMER BRACKMANN MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038594

License Status

INACTIVE

Business

N

First Name

DERALD ELMER

Last Name

BRACKMANN

Suffix

MD

Business Name

DERALD ELMER BRACKMANN MD

Original Issue Date

09/13/1963

Effective Date

01/01/1998

Expiration Date

07/31/1987

State

CA

Ever Disciplined

N

LastModifiedDate

02/05/2010