RODICA S BRISAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118989

License Status

NOT RENEWED

Business

Title

First Name

RODICA

Middle

Last Name

BRISAN

Business Name

RODICA S BRISAN MD

Original Issue Date

07/18/2007

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021