BRETTA K WARREN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036591

License Status

EXPIRED

Business

First Name

BRETTA

Middle

Last Name

WARREN

Business Name

BRETTA K WARREN

Original Issue Date

06/11/1997

Effective Date

06/11/1997

Expiration Date

06/30/2000

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006