BRENT A FELLER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000161

License Status

EXPIRED

Business

First Name

BRENT

Middle

Last Name

FELLER

Business Name

BRENT A FELLER

Original Issue Date

10/31/1991

Effective Date

10/31/1991

Expiration Date

05/18/1992

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/25/2006