ALEXANDER BRENNER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079070

License Status

CANCELLED

Business

Title

First Name

ALEXANDER

Last Name

BRENNER

Business Name

ALEXANDER BRENNER MD

Original Issue Date

06/24/2024

Effective Date

06/24/2024

Expiration Date

06/23/2025

City

CHICAGO

State

Zip

60642

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/25/2025