BRUCE J BRYAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072345

License Status

INACTIVE

Business

First Name

BRUCE J

Last Name

BRYAN

Suffix

Business Name

BRUCE J BRYAN MD

Original Issue Date

02/24/1986

Effective Date

02/24/1986

Expiration Date

07/31/1987

City

PINETOP

State

Zip

85935

County

ARIZONA

Ever Disciplined

LastModifiedDate

08/03/2009

Case Number

2009003208

Action

Refuse To Renew

Discipline Start Date

08/03/2009