BRENT L HORSLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047674

License Status

NOT RENEWED

Business

First Name

BRENT L

Last Name

HORSLEY

Suffix

Business Name

BRENT L HORSLEY MD

Original Issue Date

08/17/1973

Effective Date

06/22/2011

Expiration Date

07/31/2014

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/17/2014