STEPHANIE ANNE BRYANT DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055962

License Status

EXPIRED

Business

Title

First Name

STEPHANIE

Middle

ANNE

Last Name

BRYANT

Business Name

STEPHANIE ANNE BRYANT DO

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

08/30/2012

City

LAGRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/11/2012