BRIAN MICHAEL ICASAS CABRAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116418

License Status

NOT RENEWED

Business

First Name

BRIAN MICHAEL

Middle

ICASAS

Last Name

CABRAL

Suffix

Business Name

BRIAN MICHAEL ICASAS CABRAL MD

Original Issue Date

07/07/2006

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011