BRENT A BURROUGHS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052949

License Status

EXPIRED

Business

First Name

BRENT

Middle

Last Name

BURROUGHS

Suffix

Business Name

BRENT A BURROUGHS MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

10/25/2018