KEVIN A BRENNER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102454

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

BRENNER

Business Name

KEVIN A BRENNER

Original Issue Date

05/11/2000

Effective Date

05/11/2000

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006