THEODORE L BRYAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036032840

License Status

INACTIVE

Business

First Name

THEODORE L

Last Name

BRYAN

Suffix

Business Name

THEODORE L BRYAN MD

Original Issue Date

09/16/1954

Effective Date

09/16/1954

Expiration Date

07/31/2002

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/09/2006