PHYLLIS S BREALL MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042616948

License Status

NOT RENEWED

Business

Business Name

PHYLLIS S BREALL MD SC

Original Issue Date

08/24/1999

Effective Date

08/24/1999

Expiration Date

01/01/2002

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006