MATTHEW THOMAS BRINK DO - Medical Doctor License in Illinois | # 125067860

MATTHEW THOMAS BRINK DO

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067860

License Status

CANCELLED

Business

N

Title

DO

First Name

MATTHEW

Middle

THOMAS

Last Name

BRINK

Business Name

MATTHEW THOMAS BRINK DO

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

06/25/2015