KENNETH ALAN BRAIT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041928

License Status

NOT RENEWED

Business

First Name

KENNETH ALAN

Last Name

BRAIT

Business Name

KENNETH ALAN BRAIT

Original Issue Date

07/18/1968

Effective Date

07/18/1968

Expiration Date

07/01/1969

City

KETCHUM

State

Zip

83340

Ever Disciplined

LastModifiedDate

02/10/2009