TYSON O BRYANT - Medical Doctor License in Illinois | # 125046300

TYSON O BRYANT

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046300

License Status

EXPIRED

Business

N

First Name

TYSON

Middle

O

Last Name

BRYANT

Business Name

TYSON O BRYANT

Original Issue Date

06/30/2003

Effective Date

06/30/2003

Expiration Date

06/29/2006

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006