KENT PHILIP ELLERBROEK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054753

License Status

INACTIVE

Business

First Name

KENT PHILIP

Last Name

ELLERBROEK

Suffix

Business Name

KENT PHILIP ELLERBROEK MD

Original Issue Date

06/22/1977

Effective Date

06/22/1977

Expiration Date

07/31/1987

City

WATERLOO

State

Zip

50702

County

IOWA

Ever Disciplined

LastModifiedDate

09/20/2006