IRA MARTIN BRENT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

IRA MARTIN

Last Name

BRENT

Suffix

Business Name

IRA MARTIN BRENT MD

Original Issue Date

08/20/1984

Effective Date

08/20/1984

Expiration Date

07/31/1990

City

DECATUR

State

Zip

62521

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006