BRENT RICHARD HAYEK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117181

License Status

NOT RENEWED

Business

First Name

BRENT

Middle

RICHARD

Last Name

HAYEK

Suffix

Business Name

BRENT RICHARD HAYEK MD

Original Issue Date

11/16/2006

Effective Date

08/15/2008

Expiration Date

07/31/2011

City

DECATUR

State

Zip

30033

County

DEKALB

Ever Disciplined

LastModifiedDate

11/14/2011