GARY ROBERT BRIGHAM 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

GARY ROBERT

Last Name

BRIGHAM

Suffix

Business Name

GARY ROBERT BRIGHAM MD

Original Issue Date

11/30/1992

Effective Date

11/30/1992

Expiration Date

07/31/1993

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006