MARK AVERY BRIM - Podiatrist License in Illinois | # 016002635

MARK AVERY BRIM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002635

License Status

NOT RENEWED

Business

N

First Name

MARK AVERY

Last Name

BRIM

Business Name

MARK AVERY BRIM

Original Issue Date

07/08/1971

Effective Date

07/08/1971

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2006