TARA EILEEN BRENNAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056557

License Status

EXPIRED

Business

Title

First Name

TARA

Middle

EILEEN

Last Name

BRENNAN

Business Name

TARA EILEEN BRENNAN MD

Original Issue Date

06/24/2012

Effective Date

06/24/2012

Expiration Date

06/23/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

03/13/2015