KENT STEPHAN BRUMMEL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069981

License Status

EXPIRED

Business

Title

First Name

KENT

Middle

STEPHAN

Last Name

BRUMMEL

Business Name

KENT STEPHAN BRUMMEL MD

Original Issue Date

06/24/2017

Effective Date

06/24/2017

Expiration Date

06/23/2020

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/19/2020