BRYAN CHARLES MCCONOMY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

Title

First Name

BRYAN

Middle

CHARLES

Last Name

MCCONOMY

Business Name

BRYAN CHARLES MCCONOMY MD

Original Issue Date

04/14/2021

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/24/2023