MICHAEL ALLEN BREWER DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****17

NOT RENEWED

N

DO

MICHAEL

ALLEN

BREWER

MICHAEL ALLEN BREWER DO

10/01/2014

10/01/2014

07/31/2017

LA GRANGE

IL

60525

COOK

PRACTITIONER

II III IV V

N

11/01/2017