BRIYANA TEAGUE DOMJAHN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079626

License Status

CANCELLED

Business

Title

First Name

BRIYANA

Middle

TEAGUE

Last Name

DOMJAHN

Business Name

BRIYANA TEAGUE DOMJAHN MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/21/2025