GREGORY T BREBACH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036586

License Status

EXPIRED

Business

First Name

GREGORY

Middle

Last Name

BREBACH

Business Name

GREGORY T BREBACH

Original Issue Date

06/11/1997

Effective Date

06/11/1997

Expiration Date

06/30/2002

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006