BRENT C PACKER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106914

License Status

INACTIVE

Business

First Name

BRENT

Middle

Last Name

PACKER

Suffix

Business Name

BRENT C PACKER MD

Original Issue Date

05/09/2002

Effective Date

05/09/2002

Expiration Date

07/31/2005

City

PORT ORCHARD

State

Zip

98366

Ever Disciplined

LastModifiedDate

11/05/2013