BRIAN T SCULLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107238

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

SCULLY

Suffix

Business Name

BRIAN T SCULLY MD

Original Issue Date

06/18/2002

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

WARRENVILLE

State

Zip

60154

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008