BRYAN JACOB KING DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057710

License Status

CANCELLED

Business

Title

First Name

BRYAN

Middle

JACOB

Last Name

KING

Business Name

BRYAN JACOB KING DO

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/12/2010