DUDLEY G BROWN JR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

DUDLEY

Middle

Last Name

BROWN JR

Business Name

DUDLEY G BROWN JR

Original Issue Date

10/07/2002

Effective Date

05/02/2011

Expiration Date

07/31/2014

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017