BART JOSEPH DEBROCK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136473

License Status

NOT RENEWED

Business

Title

First Name

BART

Middle

JOSEPH

Last Name

DEBROCK

Business Name

BART JOSEPH DEBROCK MD

Original Issue Date

09/12/2014

Effective Date

05/26/2020

Expiration Date

07/31/2023

City

VINCENNES

State

Zip

47591

County

INDIANA

Ever Disciplined

LastModifiedDate

11/30/2023