DONALD ROY BROCK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036031217

License Status

INACTIVE

Business

First Name

DONALD ROY

Last Name

BROCK

Suffix

Business Name

DONALD ROY BROCK MD

Original Issue Date

03/07/1952

Effective Date

03/07/1952

Expiration Date

07/31/1987

City

NORTHVILLE

State

Zip

48167

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006