JOHN CLYDE BROSA MD - Medical Doctor License in Illinois | # 125049458

JOHN CLYDE BROSA MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049458

License Status

EXPIRED

Business

N

First Name

JOHN

Middle

CLYDE

Last Name

BROSA

Suffix

MD

Business Name

JOHN CLYDE BROSA MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2006

State

IL

Specialty/Qualifier

General Surgery

Ever Disciplined

N

LastModifiedDate

09/22/2006