BRIAN J BEAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

First Name

BRIAN J

Last Name

BEAR

Suffix

Business Name

BRIAN J BEAR MD

Original Issue Date

09/15/2011

Effective Date

09/15/2011

Expiration Date

07/31/2014

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020