BRIAN KIP REILLY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047836

License Status

EXPIRED

Business

First Name

BRIAN

Middle

KIP

Last Name

REILLY

Suffix

Business Name

BRIAN KIP REILLY MD

Original Issue Date

06/21/2007

Effective Date

06/21/2007

Expiration Date

06/20/2009

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

07/15/2009