LISA ANN BROWN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067094

License Status

CANCELLED

Business

Title

First Name

LISA

Middle

ANN

Last Name

BROWN

Business Name

LISA ANN BROWN MD

Original Issue Date

06/24/2018

Effective Date

06/24/2018

Expiration Date

06/23/2020

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

06/25/2018