DAVID RANDAL BRUSH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118735

License Status

INACTIVE

Business

First Name

DAVID

Middle

RANDAL

Last Name

BRUSH

Suffix

Business Name

DAVID RANDAL BRUSH MD

Original Issue Date

06/18/2007

Effective Date

05/27/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2011