BRIAN D PROCTOR DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089352

License Status

ACTIVE

Business

First Name

BRIAN D

Last Name

PROCTOR

Suffix

Business Name

BRIAN D PROCTOR DO

Original Issue Date

08/05/1994

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

MELROSE PARK

State

Zip

60160

County

COOK

Ever Disciplined

LastModifiedDate

07/26/2023