BRIAN D PROCTOR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081837

License Status

INACTIVE

Business

First Name

BRIAN D

Last Name

PROCTOR

Suffix

Business Name

BRIAN D PROCTOR MD

Original Issue Date

11/16/1990

Effective Date

11/16/1990

Expiration Date

07/31/1996

City

IDAHO FALLS

State

Zip

83402

County

IDAHO

Ever Disciplined

LastModifiedDate

05/20/2015