MICHELLE LYNN BRYANT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068520

License Status

EXPIRED

Business

Title

First Name

MICHELLE

Middle

LYNN

Last Name

BRYANT

Business Name

MICHELLE LYNN BRYANT MD

Original Issue Date

06/26/2019

Effective Date

06/26/2019

Expiration Date

06/25/2021

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine/Psychiatry

Ever Disciplined

LastModifiedDate

10/11/2022