BRIAN T SCULLY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039655

License Status

EXPIRED

Business

First Name

BRIAN

Middle

Last Name

SCULLY

Suffix

Business Name

BRIAN T SCULLY MD

Original Issue Date

06/22/1999

Effective Date

06/22/1999

Expiration Date

06/21/2002

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006