BRENT H UPCHURCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070755

License Status

NOT RENEWED

Business

First Name

BRENT H

Last Name

UPCHURCH

Suffix

Business Name

BRENT H UPCHURCH MD

Original Issue Date

06/03/1985

Effective Date

06/03/1985

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006