RYAN JOHN BRENZA DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044222

License Status

CANCELLED

Business

First Name

RYAN

Middle

JOHN

Last Name

BRENZA

Suffix

Business Name

RYAN JOHN BRENZA DO

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2005

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006