BRIAN PATRICK CONAHAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076633

License Status

CANCELLED

Business

Title

First Name

BRIAN

Middle

PATRICK

Last Name

CONAHAN

Business Name

BRIAN PATRICK CONAHAN MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/18/2020