CLINTON BRUBAKER MD - Medical Doctor License in Illinois | # 125084090

CLINTON BRUBAKER MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084090

License Status

ACTIVE

Business

N

Title

MD

First Name

CLINTON

Last Name

BRUBAKER

Business Name

CLINTON BRUBAKER MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

State

IL

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

N

LastModifiedDate

05/31/2024