BRENNA C BOUNDS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000225

License Status

CANCELLED

Business

First Name

BRENNA

Middle

Last Name

BOUNDS

Suffix

Business Name

BRENNA C BOUNDS MD

Original Issue Date

10/20/2004

Effective Date

10/20/2004

Expiration Date

05/18/2005

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/23/2006