BEN JASPER BRYANT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052915

License Status

EXPIRED

Business

First Name

BEN

Middle

JASPER

Last Name

BRYANT

Suffix

Business Name

BEN JASPER BRYANT MD

Original Issue Date

06/24/2007

Effective Date

06/24/2007

Expiration Date

06/23/2010

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/24/2010