BRIAN NICHOLAS EVANS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027709

License Status

EXPIRED

Business

First Name

BRIAN NICHOLAS

Last Name

EVANS

Business Name

BRIAN NICHOLAS EVANS

Original Issue Date

04/22/1992

Effective Date

04/22/1992

Expiration Date

06/30/1995

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

10/01/2014