ROBERT RALPH BRAZY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042696

License Status

NOT RENEWED

Business

First Name

ROBERT RALPH

Last Name

BRAZY

Suffix

Business Name

ROBERT RALPH BRAZY MD

Original Issue Date

07/22/1969

Effective Date

07/22/1969

Expiration Date

07/01/1982

City

GLENDALE

State

Zip

53209

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006