LINDSEY NICOLE FARAH BRUNNER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063331

License Status

CANCELLED

Business

Title

First Name

LINDSEY

Middle

NICOLE

Last Name

FARAH BRUNNER

Business Name

LINDSEY NICOLE FARAH BRUNNER MD

Original Issue Date

06/22/2013

Effective Date

06/22/2013

Expiration Date

06/21/2016

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014