BRYAN K CRISWELL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115698

License Status

INACTIVE

Business

First Name

BRYAN

Middle

Last Name

CRISWELL

Suffix

Business Name

BRYAN K CRISWELL MD

Original Issue Date

04/13/2006

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

BROADVIEW

State

Zip

60155

County

COOK

Ever Disciplined

LastModifiedDate

04/17/2008