RICHARD XAVIER BRENNAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108138

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

XAVIER

Last Name

BRENNAN

Suffix

Business Name

RICHARD XAVIER BRENNAN MD

Original Issue Date

11/12/2002

Effective Date

07/10/2014

Expiration Date

07/31/2017

City

WATERLOO

State

Zip

63129

County

MONROE

Ever Disciplined

LastModifiedDate

11/01/2017