BRENDA L RAPHAEL Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086281

License Status

INACTIVE

Business

First Name

BRENDA L

Last Name

RAPHAEL

Business Name

BRENDA L RAPHAEL

Original Issue Date

05/29/1993

Effective Date

05/29/1993

Expiration Date

07/31/2005

City

WEXFORD

State

Zip

15090

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

10/09/2006