BRENT ALLEN BROWN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057489

License Status

CANCELLED

Business

Title

First Name

BRENT

Middle

ALLEN

Last Name

BROWN

Business Name

BRENT ALLEN BROWN DO

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/19/2010