TALIA REGINA RUTH BURWASH-BRENNAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000733

License Status

EXPIRED

Business

First Name

TALIA

Middle

REGINA RUTH

Last Name

BURWASH-BRENNAN

Business Name

TALIA REGINA RUTH BURWASH-BRENNAN

Original Issue Date

04/06/2017

Effective Date

04/06/2017

Expiration Date

10/05/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

01/04/2018