R KENT BRYAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041736

License Status

NOT RENEWED

Business

First Name

R KENT

Last Name

BRYAN

Suffix

Business Name

R KENT BRYAN MD

Original Issue Date

07/01/1968

Effective Date

04/15/2011

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

11/17/2014