BRETT ALLEN FAIR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060951

License Status

EXPIRED

Business

Title

First Name

BRETT

Middle

ALLEN

Last Name

FAIR

Business Name

BRETT ALLEN FAIR MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/19/2017