STEVEN H BRIZENDINE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046220

License Status

EXPIRED

Business

First Name

STEVEN

Middle

Last Name

BRIZENDINE

Business Name

STEVEN H BRIZENDINE

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006