ROBERT ALEXIS BRENNAN JR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

CANCELLED

Business

First Name

ROBERT

Middle

ALEXIS

Last Name

BRENNAN

Suffix

JR MD

Business Name

ROBERT ALEXIS BRENNAN JR MD

Original Issue Date

11/27/2002

Effective Date

11/27/2002

Expiration Date

07/31/2008

City

WATERLOO

State

Zip

62298

County

MONROE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008