KIERAN JAMES BREEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074764

License Status

EXPIRED

Business

Title

First Name

KIERAN

Middle

JAMES

Last Name

BREEN

Business Name

KIERAN JAMES BREEN MD

Original Issue Date

07/08/2019

Effective Date

07/08/2019

Expiration Date

07/07/2021

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Endourology Fellowship

Ever Disciplined

LastModifiedDate

10/11/2022