GARY ROBERT BRIGHAM MD - Medical Doctor License in Illinois | # 125024746

GARY ROBERT BRIGHAM MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024746

License Status

EXPIRED

Business

N

First Name

GARY ROBERT

Last Name

BRIGHAM

Suffix

MD

Business Name

GARY ROBERT BRIGHAM MD

Original Issue Date

05/08/1990

Effective Date

05/08/1990

Expiration Date

06/21/1993

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006