CHARLES LEE BROCK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036033780

License Status

NOT RENEWED

Business

First Name

CHARLES LEE

Last Name

BROCK

Suffix

Business Name

CHARLES LEE BROCK MD

Original Issue Date

11/29/1955

Effective Date

11/29/1955

Expiration Date

07/31/1984

City

DAYTONA BEACH

State

Zip

32018

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006