BRENNA MAUREEN BORN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

BRENNA

Middle

MAUREEN

Last Name

BORN

Suffix

Business Name

BRENNA MAUREEN BORN MD

Original Issue Date

01/02/2002

Effective Date

01/02/2002

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60629

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008