MICHAEL BRILLIANT Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033917

License Status

EXPIRED

Business

First Name

MICHAEL

Last Name

BRILLIANT

Business Name

MICHAEL BRILLIANT

Original Issue Date

08/29/1995

Effective Date

08/29/1995

Expiration Date

08/27/2000

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006