RALPH SAMUEL BRYANT Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012653

License Status

EXPIRED

Business

First Name

RALPH SAMUEL

Last Name

BRYANT

Business Name

RALPH SAMUEL BRYANT

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

06/24/1983

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006