BRIAN KEITH WHISENANT Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000142

License Status

EXPIRED

Business

First Name

BRIAN

Middle

KEITH

Last Name

WHISENANT

Business Name

BRIAN KEITH WHISENANT

Original Issue Date

11/30/2001

Effective Date

11/30/2001

Expiration Date

06/03/2002

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

09/23/2006