THEODORE L BRYAN MD - Medical Doctor License in Illinois | # 036032840

THEODORE L BRYAN MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036032840

License Status

INACTIVE

Business

N

First Name

THEODORE L

Last Name

BRYAN

Suffix

MD

Business Name

THEODORE L BRYAN MD

Original Issue Date

09/16/1954

Effective Date

09/16/1954

Expiration Date

07/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006