BRETT CORYDON WOOD DUSENBERRY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149978

License Status

NOT RENEWED

Business

Title

First Name

BRETT

Middle

CORYDON WOOD

Last Name

DUSENBERRY

Business Name

BRETT CORYDON WOOD DUSENBERRY MD

Original Issue Date

06/27/2019

Effective Date

06/27/2019

Expiration Date

09/30/2020

City

OKLAHOMA CITY

State

Zip

73104

Ever Disciplined

LastModifiedDate

01/14/2021