BRIAN KEITH DAINES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131162

License Status

NOT RENEWED

Business

Title

First Name

BRIAN

Middle

KEITH

Last Name

DAINES

Business Name

BRIAN KEITH DAINES MD

Original Issue Date

08/15/2012

Effective Date

05/13/2014

Expiration Date

07/31/2017

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

11/01/2017