BRETT JEFFREY HALLORAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

Title

First Name

BRETT

Middle

JEFFREY

Last Name

HALLORAN

Business Name

BRETT JEFFREY HALLORAN MD

Original Issue Date

03/04/2010

Effective Date

07/07/2014

Expiration Date

07/31/2017

City

DEKALB

State

Zip

60115

County

DEKALB

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017