GERARD M DEBRUN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088039

License Status

NOT RENEWED

Business

First Name

GERARD M

Last Name

DEBRUN

Suffix

Business Name

GERARD M DEBRUN MD

Original Issue Date

02/18/1994

Effective Date

02/18/1994

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006