BRIAN K LOCKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

BRIAN K

Last Name

LOCKER

Suffix

Business Name

BRIAN K LOCKER MD

Original Issue Date

11/23/1994

Effective Date

11/23/1994

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020