MICHAEL JACK BROOKS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041055

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

JACK

Last Name

BROOKS

Suffix

Business Name

MICHAEL JACK BROOKS DO

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2003

City

LA GRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006