JACK L DAVID DC Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038004995

License Status

INACTIVE

Business

First Name

JACK L

Last Name

DAVID

Suffix

Business Name

JACK L DAVID DC

Original Issue Date

07/22/1983

Effective Date

07/22/1983

Expiration Date

07/31/1987

City

BROKEN ARROW

State

Zip

74012

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

09/21/2006