BRYAN J KELLENBERGER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125353

License Status

ACTIVE

Business

First Name

BRYAN

Middle

Last Name

KELLENBERGER

Suffix

Business Name

BRYAN J KELLENBERGER MD

Original Issue Date

04/02/2010

Effective Date

05/23/2023

Expiration Date

07/31/2026

City

SHERMAN

State

Zip

62684

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/23/2023