BRENT C DEVRIES DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086845

License Status

NOT RENEWED

Business

First Name

BRENT C

Last Name

DEVRIES

Suffix

Business Name

BRENT C DEVRIES DO

Original Issue Date

07/19/1993

Effective Date

07/19/1993

Expiration Date

07/31/1999

City

TOLEDO

State

Zip

43615

Ever Disciplined

LastModifiedDate

04/17/2008