JEFFREY WILLIAM BRENNAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058375

License Status

CANCELLED

Business

Title

First Name

JEFFREY

Middle

WILLIAM

Last Name

BRENNAN

Business Name

JEFFREY WILLIAM BRENNAN MD

Original Issue Date

06/23/2013

Effective Date

06/23/2013

Expiration Date

06/22/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/24/2014