JONATHAN ROBERT BRENT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064120

License Status

CANCELLED

Business

Title

First Name

JONATHAN

Middle

ROBERT

Last Name

BRENT

Business Name

JONATHAN ROBERT BRENT MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Neuromuscular Medicine

Ever Disciplined

LastModifiedDate

06/15/2018