BRETT ERIC THEUSCH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060179

License Status

EXPIRED

Business

First Name

BRETT

Middle

ERIC

Last Name

THEUSCH

Suffix

Business Name

BRETT ERIC THEUSCH MD

Original Issue Date

06/26/2011

Effective Date

06/26/2011

Expiration Date

06/25/2012

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/29/2012