OTTO BOHUMIL BRDLIK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052952

License Status

INACTIVE

Business

First Name

OTTO BOHUMIL

Last Name

BRDLIK

Suffix

Business Name

OTTO BOHUMIL BRDLIK MD

Original Issue Date

07/15/1976

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

MOORESTOWN

State

Zip

08057

Ever Disciplined

LastModifiedDate

04/17/2008