BRENT MARCUS BARBOUR DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000827

License Status

EXPIRED

Business

Title

First Name

BRENT

Middle

MARCUS

Last Name

BARBOUR

Business Name

BRENT MARCUS BARBOUR DO

Original Issue Date

04/01/2019

Effective Date

04/01/2019

Expiration Date

09/30/2019

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

Trauma Rotation

Ever Disciplined

LastModifiedDate

01/13/2020