DAVID NEIL BROTMAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123980

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

NEIL

Last Name

BROTMAN

Business Name

DAVID NEIL BROTMAN

Original Issue Date

07/10/2009

Effective Date

07/10/2009

Expiration Date

07/31/2011

City

PARAGOULD

State

Zip

72450

County

GREENE

Ever Disciplined

LastModifiedDate

11/14/2011