BRENT WILLIAM WHITED Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123074

License Status

NOT RENEWED

Business

First Name

BRENT

Middle

WILLIAM

Last Name

WHITED

Business Name

BRENT WILLIAM WHITED

Original Issue Date

04/06/2009

Effective Date

08/18/2011

Expiration Date

07/31/2014

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014