BRIAN PATRICK WHITE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111996

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

PATRICK

Last Name

WHITE

Suffix

Business Name

BRIAN PATRICK WHITE MD

Original Issue Date

07/30/2004

Effective Date

07/30/2004

Expiration Date

07/31/2005

City

JASPER

State

Zip

30143

Ever Disciplined

LastModifiedDate

10/09/2006