BRYAN JACOB KING DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131067

License Status

ACTIVE

Business

Title

First Name

BRYAN

Middle

JACOB

Last Name

KING

Business Name

BRYAN JACOB KING DO

Original Issue Date

08/06/2012

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2023