BRIAN THOMAS TOLLY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064528

License Status

EXPIRED

Business

Title

First Name

BRIAN

Middle

THOMAS

Last Name

TOLLY

Business Name

BRIAN THOMAS TOLLY MD

Original Issue Date

06/23/2017

Effective Date

06/23/2017

Expiration Date

06/22/2018

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

10/25/2018