JEFFREY D BRECKENRIDGE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091023

License Status

INACTIVE

Business

First Name

JEFFREY D

Last Name

BRECKENRIDGE

Suffix

Business Name

JEFFREY D BRECKENRIDGE MD

Original Issue Date

06/26/1995

Effective Date

06/26/1995

Expiration Date

07/31/1996

City

MARION

State

Zip

46952

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006