MARK ALLEN BRISSO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108820

License Status

NOT RENEWED

Business

First Name

MARK

Middle

ALLEN

Last Name

BRISSO

Suffix

Business Name

MARK ALLEN BRISSO MD

Original Issue Date

03/18/2003

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/06/2008