MARTHA JANE BROOKS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037330

License Status

NOT RENEWED

Business

First Name

MARTHA JANE

Last Name

BROOKS

Suffix

Business Name

MARTHA JANE BROOKS MD

Original Issue Date

09/15/1961

Effective Date

09/15/1961

City

CHARLOTTESVILLE

State

County

VIRGINIA

Ever Disciplined

LastModifiedDate

09/20/2006