BRYAN R HERRON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091970

License Status

NOT RENEWED

Business

First Name

BRYAN R

Last Name

HERRON

Business Name

BRYAN R HERRON

Original Issue Date

10/02/1995

Effective Date

10/02/1995

Expiration Date

07/31/1999

City

WILDWOOD

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

09/20/2006