STANLEY KARL BROCKMAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042107

License Status

INACTIVE

Business

First Name

STANLEY KARL

Last Name

BROCKMAN

Suffix

Business Name

STANLEY KARL BROCKMAN MD

Original Issue Date

09/03/1968

Effective Date

09/03/1968

Expiration Date

07/31/1987

City

PHILADELPHIA

State

Zip

19107

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

09/20/2006