BRADLEY D FOURAKER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079379

License Status

INACTIVE

Business

First Name

BRADLEY D

Last Name

FOURAKER

Suffix

Business Name

BRADLEY D FOURAKER MD

Original Issue Date

12/28/1989

Effective Date

12/28/1989

Expiration Date

07/31/1993

City

TAMPA

State

Zip

33606

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006