HENRY A BRIELE JR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044267

License Status

NOT RENEWED

Business

First Name

HENRY A

Last Name

BRIELE JR

Business Name

HENRY A BRIELE JR

Original Issue Date

06/22/1971

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011