BRIAN MICHAEL CAMAZINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

BRIAN MICHAEL

Last Name

CAMAZINE

Suffix

Business Name

BRIAN MICHAEL CAMAZINE MD

Original Issue Date

04/01/1993

Effective Date

04/01/1993

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006