KENT STEPHAN BRUMMEL MD - Medical Doctor License in Illinois | # 125069981

KENT STEPHAN BRUMMEL MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069981

License Status

EXPIRED

Business

N

Title

MD

First Name

KENT

Middle

STEPHAN

Last Name

BRUMMEL

Business Name

KENT STEPHAN BRUMMEL MD

Original Issue Date

06/24/2017

Effective Date

06/24/2017

Expiration Date

06/23/2020

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

11/19/2020