MIKALA RAE BRINKMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048243

License Status

EXPIRED

Business

First Name

MIKALA

Middle

RAE

Last Name

BRINKMAN

Suffix

Business Name

MIKALA RAE BRINKMAN MD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

07/03/2007