CHRISTOPHER PAUL BRENNER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017945

License Status

EXPIRED

Business

First Name

CHRISTOPHER PAUL

Last Name

BRENNER

Suffix

Business Name

CHRISTOPHER PAUL BRENNER MD

Original Issue Date

06/13/1985

Effective Date

06/13/1985

Expiration Date

07/01/1988

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006