BRENO S PESSANHA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113769

License Status

NOT RENEWED

Business

First Name

BRENO

Middle

Last Name

PESSANHA

Suffix

Business Name

BRENO S PESSANHA MD

Original Issue Date

05/24/2005

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

09/08/2016