DEMETRIOS T BRADDOCK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098686

License Status

NOT RENEWED

Business

First Name

DEMETRIOS

Middle

Last Name

BRADDOCK

Business Name

DEMETRIOS T BRADDOCK

Original Issue Date

08/14/1998

Effective Date

08/14/1998

Expiration Date

07/31/2005

City

GUILFORD

State

Zip

06437

Ever Disciplined

LastModifiedDate

01/12/2012