BRYAN JON PACK MD - Medical Doctor License in Michigan | # 036125552

BRYAN JON PACK MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125552

License Status

NOT RENEWED

Business

N

Title

MD

First Name

BRYAN

Middle

JON

Last Name

PACK

Business Name

BRYAN JON PACK MD

Original Issue Date

04/22/2010

Effective Date

04/22/2010

Expiration Date

07/31/2011

State

MI

Ever Disciplined

N

LastModifiedDate

11/14/2011