JONATHAN TYLER BRICKER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

Title

First Name

JONATHAN

Middle

TYLER

Last Name

BRICKER

Business Name

JONATHAN TYLER BRICKER MD

Original Issue Date

11/14/2024

Effective Date

11/14/2024

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2024