JACK D BRAGG DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081952

License Status

NOT RENEWED

Business

First Name

JACK D

Last Name

BRAGG

Suffix

Business Name

JACK D BRAGG DO

Original Issue Date

12/18/1990

Effective Date

12/18/1990

Expiration Date

07/31/1993

City

KIRKSVILLE

State

Zip

63501

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006