MICHAEL FREDERICK BRIN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112113

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

FREDERICK

Last Name

BRIN

Suffix

Business Name

MICHAEL FREDERICK BRIN DO

Original Issue Date

08/13/2004

Effective Date

06/10/2020

Expiration Date

07/31/2023

City

MEQUON

State

Zip

53092

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/30/2023