HARLAN W BRINK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

First Name

HARLAN W

Last Name

BRINK

Suffix

Business Name

HARLAN W BRINK MD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

DELAVAN

State

Zip

61734

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006