BRIAN E BREWER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000627

License Status

EXPIRED

Business

First Name

BRIAN

Middle

Last Name

BREWER

Business Name

BRIAN E BREWER

Original Issue Date

12/13/2004

Effective Date

12/13/2004

Expiration Date

01/14/2005

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/25/2006