PHILIPPINE K BROOKE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

PHILIPPINE K

Last Name

BROOKE

Business Name

PHILIPPINE K BROOKE

Original Issue Date

05/23/2017

Effective Date

05/23/2017

Expiration Date

09/30/2020

City

GROVELAND

State

Zip

34736

County

FLORIDA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021