REYNOLDS B BRISSENDEN III MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079675

License Status

INACTIVE

Business

First Name

REYNOLDS

Middle

Last Name

BRISSENDEN

Suffix

III MD

Business Name

REYNOLDS B BRISSENDEN III MD

Original Issue Date

01/19/1990

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

HOLLAND

State

Zip

49424

Ever Disciplined

LastModifiedDate

07/24/2008