BRENT C PACKER MD - Medical Doctor License in Washington | # 036106914

BRENT C PACKER MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106914

License Status

INACTIVE

Business

N

First Name

BRENT

Middle

C

Last Name

PACKER

Suffix

MD

Business Name

BRENT C PACKER MD

Original Issue Date

05/09/2002

Effective Date

05/09/2002

Expiration Date

07/31/2005

State

WA

Ever Disciplined

N

LastModifiedDate

11/05/2013