ANDREW S BRENNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052639

License Status

NOT RENEWED

Business

First Name

ANDREW S

Last Name

BRENNER

Suffix

Business Name

ANDREW S BRENNER MD

Original Issue Date

04/15/1976

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHAMPAIGN

State

Zip

61822

County

MACON

Ever Disciplined

LastModifiedDate

09/28/2010