KENNETH MICHAEL BRANTLEY MD - Medical Doctor License in Missouri | # 036139039

KENNETH MICHAEL BRANTLEY MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139039

License Status

NOT RENEWED

Business

N

Title

MD

First Name

KENNETH

Middle

MICHAEL

Last Name

BRANTLEY

Business Name

KENNETH MICHAEL BRANTLEY MD

Original Issue Date

08/31/2015

Effective Date

08/31/2015

Expiration Date

07/31/2017

State

MO

Ever Disciplined

N

LastModifiedDate

11/01/2017