ALLISON CLARKE BROOKS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077156

License Status

CANCELLED

Business

Title

First Name

ALLISON

Middle

CLARKE

Last Name

BROOKS

Business Name

ALLISON CLARKE BROOKS MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

UNIVERSITY PLACE

State

Zip

98466

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/10/2020