BRENTON J WARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134911

License Status

NOT RENEWED

Business

Title

First Name

BRENTON

Middle

Last Name

WARD

Business Name

BRENTON J WARD MD

Original Issue Date

04/03/2014

Effective Date

04/03/2014

Expiration Date

07/31/2017

City

SEATTLE

State

Zip

98112

County

WASHINGTON STATE

Ever Disciplined

LastModifiedDate

11/01/2017