BROOKS A MIRRER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051082

License Status

NOT RENEWED

Business

First Name

BROOKS A

Last Name

MIRRER

Suffix

Business Name

BROOKS A MIRRER MD

Original Issue Date

06/24/1975

Effective Date

06/24/1975

Expiration Date

07/01/1982

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006