BROCK DAVID ANDREATTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124279

License Status

ACTIVE

Business

Title

First Name

BROCK

Middle

DAVID

Last Name

ANDREATTA

Business Name

BROCK DAVID ANDREATTA MD

Original Issue Date

08/25/2009

Effective Date

07/24/2023

Expiration Date

07/31/2026

City

NEW PHILADELPHIA

State

Zip

44663

Ever Disciplined

LastModifiedDate

07/24/2023