DANIEL JOHN BREAULT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119692

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

JOHN

Last Name

BREAULT

Suffix

Business Name

DANIEL JOHN BREAULT MD

Original Issue Date

11/13/2007

Effective Date

05/02/2011

Expiration Date

07/31/2014

City

DURHAM

State

Zip

27705

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

11/17/2014