WAYNE ALAN BREARLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102293

License Status

NOT RENEWED

Business

First Name

WAYNE

Middle

ALAN

Last Name

BREARLEY

Suffix

Business Name

WAYNE ALAN BREARLEY MD

Original Issue Date

04/07/2000

Effective Date

04/07/2000

Expiration Date

07/31/2005

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006