MICHAEL JOEL BRENNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121585

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

JOEL

Last Name

BRENNER

Business Name

MICHAEL JOEL BRENNER MD

Original Issue Date

07/29/2008

Effective Date

04/13/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/17/2014