DOUGLAS ALAN BRYLKA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050658

License Status

EXPIRED

Business

First Name

DOUGLAS

Middle

ALAN

Last Name

BRYLKA

Suffix

Business Name

DOUGLAS ALAN BRYLKA MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2010

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

07/08/2010