BRIAN T KLAUSNER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045891

License Status

EXPIRED

Business

First Name

BRIAN

Middle

Last Name

KLAUSNER

Suffix

Business Name

BRIAN T KLAUSNER MD

Original Issue Date

05/06/2003

Effective Date

05/06/2003

Expiration Date

06/23/2006

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006