DONALD JEFFREY BROCK DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151446

License Status

NOT RENEWED

Business

Title

First Name

DONALD

Middle

JEFFREY

Last Name

BROCK

Business Name

DONALD JEFFREY BROCK DO

Original Issue Date

12/31/2019

Effective Date

10/01/2020

Expiration Date

07/31/2023

City

HILLSDALE

State

Zip

49242

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/30/2023