BRIAN MATTHEW KRIEGER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

Title

First Name

BRIAN

Middle

MATTHEW

Last Name

KRIEGER

Business Name

BRIAN MATTHEW KRIEGER MD

Original Issue Date

05/31/2011

Effective Date

05/31/2011

Expiration Date

07/31/2014

City

OTTAWA

State

Zip

61350

County

LA SALLE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014