CAMILLE BRIANNE GARRISON 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

CAMILLE

Middle

BRIANNE

Last Name

GARRISON

Suffix

Business Name

CAMILLE BRIANNE GARRISON MD

Original Issue Date

07/28/2009

Effective Date

07/28/2009

Expiration Date

07/31/2011

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011