DAVID RICHARD BRINE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027828

License Status

EXPIRED

Business

First Name

DAVID RICHARD

Last Name

BRINE

Business Name

DAVID RICHARD BRINE

Original Issue Date

05/04/1992

Effective Date

05/04/1992

Expiration Date

06/30/1993

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006