BRIAN W BIRMINGHAM MD - Medical Doctor License in Illinois | # 125026199

BRIAN W BIRMINGHAM MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026199

License Status

EXPIRED

Business

N

First Name

BRIAN

Middle

W

Last Name

BIRMINGHAM

Suffix

MD

Business Name

BRIAN W BIRMINGHAM MD

Original Issue Date

04/18/1991

Effective Date

04/18/1991

Expiration Date

06/20/1994

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006