BRENT C DEVRIES DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023383

License Status

EXPIRED

Business

First Name

BRENT C

Last Name

DEVRIES

Suffix

Business Name

BRENT C DEVRIES DO

Original Issue Date

04/25/1989

Effective Date

04/25/1989

Expiration Date

06/22/1993

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006