BRIAN M BROTZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075386

License Status

NOT RENEWED

Business

First Name

BRIAN M

Last Name

BROTZ

Business Name

BRIAN M BROTZ

Original Issue Date

07/02/1987

Effective Date

07/02/1987

Expiration Date

07/31/1993

City

SILVERDALE

State

Zip

98383

County

WASHINGTON

Ever Disciplined

LastModifiedDate

09/20/2006