BRANDON DANIEL FRYE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144000

License Status

NOT RENEWED

Business

Title

First Name

BRANDON

Middle

DANIEL

Last Name

FRYE

Business Name

BRANDON DANIEL FRYE DO

Original Issue Date

08/01/2017

Effective Date

08/01/2017

Expiration Date

09/30/2020

City

MELBOURNE BEACH

State

Zip

32951

Ever Disciplined

LastModifiedDate

01/14/2021