BRIAN TYSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151246

License Status

ACTIVE

Business

Title

First Name

BRIAN

Last Name

TYSON

Business Name

BRIAN TYSON MD

Original Issue Date

11/20/2019

Effective Date

04/30/2023

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

04/30/2023