BRENNA KOLOKOFF MCCRUMMEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055303

License Status

EXPIRED

Business

Title

First Name

BRENNA

Middle

KOLOKOFF

Last Name

MCCRUMMEN

Business Name

BRENNA KOLOKOFF MCCRUMMEN MD

Original Issue Date

06/23/2011

Effective Date

06/23/2011

Expiration Date

06/22/2012

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

08/29/2012