GARY BRETT WESTERN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106083

License Status

ACTIVE

Business

First Name

GARY

Middle

BRETT

Last Name

WESTERN

Suffix

Business Name

GARY BRETT WESTERN MD

Original Issue Date

01/11/2002

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/16/2023