JAMES D BROKKE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029288

License Status

EXPIRED

Business

First Name

JAMES

Middle

Last Name

BROKKE

Business Name

JAMES D BROKKE

Original Issue Date

04/22/1993

Effective Date

04/22/1993

Expiration Date

06/30/1996

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006