BRUCE J BRYAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016146

License Status

EXPIRED

Business

First Name

BRUCE J

Last Name

BRYAN

Suffix

Business Name

BRUCE J BRYAN MD

Original Issue Date

06/30/1983

Effective Date

06/30/1983

Expiration Date

07/01/1985

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006