CARLOS ENRIQUE BROWN JR. MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065695

License Status

CANCELLED

Business

Title

First Name

CARLOS

Middle

ENRIQUE

Last Name

BROWN JR.

Business Name

CARLOS ENRIQUE BROWN JR. MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

06/12/2017