MICHAEL BRILLIANT - Medical Doctor License in Illinois | # 125033917

MICHAEL BRILLIANT

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033917

License Status

EXPIRED

Business

N

First Name

MICHAEL

Last Name

BRILLIANT

Business Name

MICHAEL BRILLIANT

Original Issue Date

08/29/1995

Effective Date

08/29/1995

Expiration Date

08/27/2000

State

IL

Specialty/Qualifier

Psychiatry

Ever Disciplined

N

LastModifiedDate

09/22/2006