BRYCE T AUSTELL MD - Medical Doctor License in Illinois | # 125068949

BRYCE T AUSTELL MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068949

License Status

EXPIRED

Business

N

Title

MD

First Name

BRYCE

Middle

T

Last Name

AUSTELL

Business Name

BRYCE T AUSTELL MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2021

State

IL

Specialty/Qualifier

Pain Medicine

Ever Disciplined

N

LastModifiedDate

10/11/2022