REID DOUGLAS BRECKWOLDT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134901

License Status

ACTIVE

Business

Title

First Name

REID

Middle

DOUGLAS

Last Name

BRECKWOLDT

Business Name

REID DOUGLAS BRECKWOLDT MD

Original Issue Date

04/02/2014

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

BEACHWOOD

State

Zip

44122

Ever Disciplined

LastModifiedDate

07/07/2023