VICTORIA J BROCKHOUSE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022391

License Status

EXPIRED

Business

Title

First Name

VICTORIA J

Last Name

BROCKHOUSE

Business Name

VICTORIA J BROCKHOUSE DO

Original Issue Date

05/14/1988

Effective Date

05/14/1988

Expiration Date

07/01/1991

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006