MICHAEL ALLEN BREWER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136588

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

ALLEN

Last Name

BREWER

Business Name

MICHAEL ALLEN BREWER DO

Original Issue Date

10/01/2014

Effective Date

10/01/2014

Expiration Date

07/31/2017

City

LA GRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017