BREHAN LARA KING MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050515

License Status

EXPIRED

Business

First Name

BREHAN

Middle

LARA

Last Name

KING

Suffix

Business Name

BREHAN LARA KING MD

Original Issue Date

08/25/2005

Effective Date

08/25/2005

Expiration Date

08/24/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/05/2008