BRIAN PATRICK WHITE MD - Medical Doctor License in Georgia | # 036111996

BRIAN PATRICK WHITE MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111996

License Status

NOT RENEWED

Business

N

First Name

BRIAN

Middle

PATRICK

Last Name

WHITE

Suffix

MD

Business Name

BRIAN PATRICK WHITE MD

Original Issue Date

07/30/2004

Effective Date

07/30/2004

Expiration Date

07/31/2005

State

GA

Ever Disciplined

N

LastModifiedDate

10/09/2006