ADAM C EBREO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039181

License Status

EXPIRED

Business

First Name

ADAM C

Last Name

EBREO

Business Name

ADAM C EBREO

Original Issue Date

06/21/1999

Effective Date

06/21/1999

Expiration Date

06/20/2003

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006