MITCHELL A BRACK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079519

License Status

INACTIVE

Business

First Name

MITCHELL A

Last Name

BRACK

Suffix

Business Name

MITCHELL A BRACK MD

Original Issue Date

11/04/1989

Effective Date

11/04/1989

Expiration Date

07/31/1996

City

DUBLIN

State

Zip

43017

County

OHIO

Ever Disciplined

LastModifiedDate

09/20/2006