ROY ERNEST BRACKIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036018127

License Status

NOT RENEWED

Business

First Name

ROY ERNEST

Last Name

BRACKIN

Suffix

Business Name

ROY ERNEST BRACKIN MD

Original Issue Date

08/17/1929

Effective Date

08/17/1929

City

HIGHLAND PARK

State

County

LAKE

Ever Disciplined

LastModifiedDate

09/20/2006