R SAMUEL BRYANT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064830

License Status

NOT RENEWED

Business

First Name

R SAMUEL

Last Name

BRYANT

Suffix

Business Name

R SAMUEL BRYANT MD

Original Issue Date

07/20/1982

Effective Date

07/20/1982

Expiration Date

07/31/1990

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006