BRETT WAYNE ENGBRECHT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

CANCELLED

Business

First Name

BRETT

Middle

WAYNE

Last Name

ENGBRECHT

Suffix

Business Name

BRETT WAYNE ENGBRECHT MD

Original Issue Date

08/28/2003

Effective Date

08/28/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006