PHYLLIS S BREALL MD SC - Medical Corporation License in Illinois | # 042616948

PHYLLIS S BREALL MD SC

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042616948

License Status

NOT RENEWED

Business

Y

Business Name

PHYLLIS S BREALL MD SC

Original Issue Date

08/24/1999

Effective Date

08/24/1999

Expiration Date

01/01/2002

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006