TERRENCE WADE BROWN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050045

License Status

EXPIRED

Business

First Name

TERRENCE

Middle

WADE

Last Name

BROWN

Suffix

Business Name

TERRENCE WADE BROWN MD

Original Issue Date

06/17/2005

Effective Date

06/17/2005

Expiration Date

06/16/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

06/26/2008