ANDREA M BRAULT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094947

License Status

NOT RENEWED

Business

First Name

ANDREA M

Last Name

BRAULT

Suffix

Business Name

ANDREA M BRAULT MD

Original Issue Date

03/05/1997

Effective Date

03/05/1997

Expiration Date

07/31/1999

City

HUNTINGTON BEACH

State

Zip

92648

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006