GREGORY T BREBACH - Medical Doctor License in Illinois | # 125036586

GREGORY T BREBACH

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036586

License Status

EXPIRED

Business

N

First Name

GREGORY

Middle

T

Last Name

BREBACH

Business Name

GREGORY T BREBACH

Original Issue Date

06/11/1997

Effective Date

06/11/1997

Expiration Date

06/30/2002

State

IL

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

N

LastModifiedDate

09/22/2006