MICHAEL FREDERICK BRIN DO - Medical Doctor License in Illinois | # 125044970

MICHAEL FREDERICK BRIN DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044970

License Status

EXPIRED

Business

N

First Name

MICHAEL

Middle

FREDERICK

Last Name

BRIN

Suffix

DO

Business Name

MICHAEL FREDERICK BRIN DO

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2005

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006