BRENT TYLER CUTRO DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057242

License Status

CANCELLED

Business

Title

First Name

BRENT

Middle

TYLER

Last Name

CUTRO

Business Name

BRENT TYLER CUTRO DO

Original Issue Date

08/17/2010

Effective Date

08/17/2010

Expiration Date

08/16/2012

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/03/2010