BRIAN PATRICK JACQUOT Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038006783

License Status

INACTIVE

Business

First Name

BRIAN

Middle

PATRICK

Last Name

JACQUOT

Business Name

BRIAN PATRICK JACQUOT

Original Issue Date

02/15/1991

Effective Date

02/15/1991

Expiration Date

07/31/1993

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/21/2006