GRACE BROUSSARD DC Medical Doctor License verification

Business Entity

Non Sufficient Fund Check Terminated

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038008567

License Status

Non Sufficient Fund Check Terminated

Business

First Name

GRACE

Last Name

BROUSSARD

Suffix

Business Name

GRACE BROUSSARD DC

Original Issue Date

08/20/1998

Effective Date

08/20/1998

Expiration Date

07/31/1999

City

HAZELWOOD

State

Zip

63042

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/21/2006