BRENT DAVID GERLACH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064367

License Status

EXPIRED

Business

Title

First Name

BRENT

Middle

DAVID

Last Name

GERLACH

Business Name

BRENT DAVID GERLACH MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/19/2017