MARIE A BRISTER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035454

License Status

EXPIRED

Business

First Name

MARIE

Middle

Last Name

BRISTER

Suffix

Business Name

MARIE A BRISTER MD

Original Issue Date

07/23/1996

Effective Date

07/23/1996

Expiration Date

07/18/1999

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006