TRISTA A BROWN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110768

License Status

NOT RENEWED

Business

First Name

TRISTA

Middle

Last Name

BROWN

Business Name

TRISTA A BROWN

Original Issue Date

02/02/2004

Effective Date

06/23/2008

Expiration Date

07/31/2011

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011