BROOKE ERIN VASICEK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069835

License Status

EXPIRED

Business

Title

First Name

BROOKE

Middle

ERIN

Last Name

VASICEK

Business Name

BROOKE ERIN VASICEK MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

11/19/2020