CHARLES M BROHM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044133

License Status

INACTIVE

Business

First Name

CHARLES M

Last Name

BROHM

Suffix

Business Name

CHARLES M BROHM MD

Original Issue Date

04/07/1971

Effective Date

06/22/2011

Expiration Date

07/31/2014

City

PROSPECT

State

Zip

40059

County

KENTUCKY

Ever Disciplined

LastModifiedDate

04/08/2014