ANDRE MIGUEL BRISSETT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071454

License Status

EXPIRED

Business

Title

First Name

ANDRE

Middle

MIGUEL

Last Name

BRISSETT

Business Name

ANDRE MIGUEL BRISSETT MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2021

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/11/2022