BRIAN PATRICK SPROUSE 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

Title

First Name

BRIAN

Middle

PATRICK

Last Name

SPROUSE

Business Name

BRIAN PATRICK SPROUSE MD

Original Issue Date

04/19/2018

Effective Date

06/23/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023