MATTHEW THOMAS BRINK DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067860

License Status

CANCELLED

Business

Title

First Name

MATTHEW

Middle

THOMAS

Last Name

BRINK

Business Name

MATTHEW THOMAS BRINK DO

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/25/2015