STEVEN H BRIZENDINE - Medical Doctor License in Illinois | # 125046220

STEVEN H BRIZENDINE

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046220

License Status

EXPIRED

Business

N

First Name

STEVEN

Middle

H

Last Name

BRIZENDINE

Business Name

STEVEN H BRIZENDINE

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006