BRIAN LEE ABBOTT - Medical Doctor License in Illinois | # 130000434

BRIAN LEE ABBOTT

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000434

License Status

EXPIRED

Business

N

First Name

BRIAN

Middle

LEE

Last Name

ABBOTT

Business Name

BRIAN LEE ABBOTT

Original Issue Date

10/03/1997

Effective Date

10/03/1997

Expiration Date

10/02/1999

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

09/25/2006