BRIAN BIRKS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072311

License Status

EXPIRED

Business

Title

First Name

BRIAN

Last Name

BIRKS

Business Name

BRIAN BIRKS DO

Original Issue Date

06/22/2018

Effective Date

06/22/2018

Expiration Date

06/21/2021

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/11/2022