BRYAN D RAYBUCK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000227

License Status

EXPIRED

Business

First Name

BRYAN

Middle

Last Name

RAYBUCK

Suffix

Business Name

BRYAN D RAYBUCK MD

Original Issue Date

11/16/2004

Effective Date

11/16/2004

Expiration Date

05/15/2005

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/23/2006