JAMES MICHAEL BRENNAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

MICHAEL

Last Name

BRENNAN

Suffix

Business Name

JAMES MICHAEL BRENNAN MD

Original Issue Date

12/16/2002

Effective Date

12/10/2014

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