ANGELA J BRYAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038239

License Status

EXPIRED

Business

First Name

ANGELA

Middle

Last Name

BRYAN

Suffix

Business Name

ANGELA J BRYAN MD

Original Issue Date

06/03/1998

Effective Date

06/03/1998

Expiration Date

06/30/2001

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006