Brian C Fort Md
ExpiredIllinois license 125059752
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 125059752
- Status
- Expired
- First issued
- June 27, 2011
- Expired
- June 26, 2014
- License holder
- Brian C Fort
- Entity type
- Individual
Classifications
- Temporary Medical Permit Physicians & Surgeons
More from the license record
- Specialty
- Emergency Medicine
- Current term began
- 06/27/2011
Other Illinois licenses under this name
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ExpiredPekin, ILExpired Mar 31, 2004
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Contact
Oak Lawn, IL 60453
Cook County