ALLISON ANN BRUBAKER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000868

License Status

EXPIRED

Business

Title

First Name

ALLISON

Middle

ANN

Last Name

BRUBAKER

Business Name

ALLISON ANN BRUBAKER MD

Original Issue Date

02/24/2020

Effective Date

02/24/2020

Expiration Date

08/23/2020

City

GRANITE CITY

State

Zip

62040

County

MADISON

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

11/19/2020