BRIAN G MYERS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028699

License Status

EXPIRED

Business

First Name

BRIAN

Middle

Last Name

MYERS

Business Name

BRIAN G MYERS

Original Issue Date

06/10/1992

Effective Date

06/10/1992

Expiration Date

06/30/1995

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006