BRYAN ROBERT GAYNOR DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063439

License Status

CANCELLED

Business

Title

First Name

BRYAN

Middle

ROBERT

Last Name

GAYNOR

Business Name

BRYAN ROBERT GAYNOR DO

Original Issue Date

06/22/2013

Effective Date

06/22/2013

Expiration Date

06/21/2016

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014