ADAM J BRAZE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121165

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

Last Name

BRAZE

Suffix

Business Name

ADAM J BRAZE DO

Original Issue Date

06/16/2008

Effective Date

09/13/2011

Expiration Date

07/31/2014

City

MECHANICSBURG

State

Zip

17050

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

11/17/2014