BRIAN T SCULLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

SCULLY

Suffix

Business Name

BRIAN T SCULLY MD

Original Issue Date

07/12/2002

Effective Date

07/12/2002

Expiration Date

07/31/2008

City

WARRENVILLE

State

Zip

60555

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008