PAUL HARVEY DEBRUINE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038777

License Status

INACTIVE

Business

First Name

PAUL HARVEY

Last Name

DEBRUINE

Suffix

Business Name

PAUL HARVEY DEBRUINE MD

Original Issue Date

11/26/1963

Effective Date

11/26/1963

Expiration Date

07/31/2002

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/09/2006