BRIAN ALEXANDER BRAITHWAITE MD - Medical Doctor License in Kentucky | # 036138051

BRIAN ALEXANDER BRAITHWAITE MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138051

License Status

NOT RENEWED

Business

N

Title

MD

First Name

BRIAN

Middle

ALEXANDER

Last Name

BRAITHWAITE

Business Name

BRIAN ALEXANDER BRAITHWAITE MD

Original Issue Date

05/21/2015

Effective Date

06/27/2017

Expiration Date

09/30/2020

State

KY

Ever Disciplined

N

LastModifiedDate

01/14/2021