MARK AVERY BRIM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002635

License Status

NOT RENEWED

Business

First Name

MARK AVERY

Last Name

BRIM

Business Name

MARK AVERY BRIM

Original Issue Date

07/08/1971

Effective Date

07/08/1971

City

MELROSE PARK

State

Zip

60164

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006