RICHARD XAVIER BRENNAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

XAVIER

Last Name

BRENNAN

Suffix

Business Name

RICHARD XAVIER BRENNAN MD

Original Issue Date

01/24/2003

Effective Date

05/13/2015

Expiration Date

07/31/2017

City

WATERLOO

State

Zip

62298

County

MONROE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017