HARLEY CALVIN BROOKS III MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033650

License Status

EXPIRED

Business

First Name

HARLEY

Middle

CALVIN

Last Name

BROOKS

Suffix

III MD

Business Name

HARLEY CALVIN BROOKS III MD

Original Issue Date

06/28/1995

Effective Date

06/28/1995

Expiration Date

06/30/1999

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

09/22/2006