BRETT MICHAEL MAHON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049078

License Status

CANCELLED

Business

First Name

BRETT

Middle

MICHAEL

Last Name

MAHON

Suffix

Business Name

BRETT MICHAEL MAHON MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006