DUSTIN MARK BROWN - Medical Doctor License in Illinois | # 125054663

DUSTIN MARK BROWN

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054663

License Status

EXPIRED

Business

N

First Name

DUSTIN

Middle

MARK

Last Name

BROWN

Business Name

DUSTIN MARK BROWN

Original Issue Date

06/23/2011

Effective Date

06/23/2011

Expiration Date

06/22/2012

State

IL

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

N

LastModifiedDate

08/29/2012