RALPH D BROWN JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027789

License Status

EXPIRED

Business

First Name

RALPH D

Last Name

BROWN JR

Suffix

Business Name

RALPH D BROWN JR MD

Original Issue Date

04/30/1992

Effective Date

04/30/1992

Expiration Date

06/30/1995

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006