BRIAN THOMAS FISHER DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044966

License Status

EXPIRED

Business

First Name

BRIAN

Middle

THOMAS

Last Name

FISHER

Suffix

Business Name

BRIAN THOMAS FISHER DO

Original Issue Date

06/26/2002

Effective Date

06/26/2002

Expiration Date

06/25/2005

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006