License holder summary

KENNETH MICHAEL BRANTLEY is a Physician licensed to practice in Indiana. The address on file for KENNETH MICHAEL BRANTLEY is CHARLOTTESVILLE VA 22903. This licensed professional license is not current. The license was granted 06/20/1985 and expired on 06/30/1986.

Indiana

Professional Licensing Agency

KENNETH MICHAEL BRANTLEY
Physician
License number
01034346A
Date granted
06/20/1985
Date expires
06/30/1986
Class
Physician
Status
Expired Non-Renewable
Address
CHARLOTTESVILLE VA 22903
indianalicensing.org
ID 6038187
LAST UPDATED 2024-03-16 23:26:50 UTC

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