BRIAN PATRICK SPROUSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145778

License Status

NOT RENEWED

Business

Title

First Name

BRIAN

Middle

PATRICK

Last Name

SPROUSE

Business Name

BRIAN PATRICK SPROUSE MD

Original Issue Date

04/19/2018

Effective Date

05/26/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023