HARLEY CALVIN BROOKS III MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100625

License Status

ACTIVE

Business

First Name

HARLEY

Middle

CALVIN

Last Name

BROOKS

Suffix

III MD

Business Name

HARLEY CALVIN BROOKS III MD

Original Issue Date

07/12/1999

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/26/2023