HARRY DWIGHT BRICKLEY JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036034497

License Status

NOT RENEWED

Business

First Name

HARRY DWIGHT

Last Name

BRICKLEY JR

Suffix

Business Name

HARRY DWIGHT BRICKLEY JR MD

Original Issue Date

03/20/1957

Effective Date

03/20/1957

City

INDIANAPOLIS

State

Zip

46220

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006