AUDREY GENNIEL BREWER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128893

License Status

ACTIVE

Business

Title

First Name

AUDREY

Middle

GENNIEL

Last Name

BREWER

Business Name

AUDREY GENNIEL BREWER MD

Original Issue Date

08/30/2011

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

07/18/2023