BRYAN DAVID MACRIE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058601

License Status

EXPIRED

Business

Title

First Name

BRYAN

Middle

DAVID

Last Name

MACRIE

Business Name

BRYAN DAVID MACRIE MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2014

City

ELGIN

State

Zip

60123

County

KANE

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

LastModifiedDate

03/13/2015