DAVID RANDAL BRUSH MD - Medical Doctor License in Illinois | # 125047381

DAVID RANDAL BRUSH MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047381

License Status

EXPIRED

Business

N

First Name

DAVID

Middle

RANDAL

Last Name

BRUSH

Suffix

MD

Business Name

DAVID RANDAL BRUSH MD

Original Issue Date

06/24/2004

Effective Date

06/24/2004

Expiration Date

06/23/2007

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

07/03/2007