BRENT RAY DRISKILL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142067

License Status

NOT RENEWED

Business

Title

First Name

BRENT

Middle

RAY

Last Name

DRISKILL

Business Name

BRENT RAY DRISKILL MD

Original Issue Date

12/06/2016

Effective Date

12/06/2016

Expiration Date

07/31/2017

City

SAN DIEGO

State

Zip

92103

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/01/2017