DEBRA R FIALA BREEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026179

License Status

EXPIRED

Business

First Name

DEBRA R

Last Name

FIALA BREEN

Business Name

DEBRA R FIALA BREEN

Original Issue Date

04/17/1991

Effective Date

04/17/1991

Expiration Date

06/18/1994

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006