BRYAN K CRISWELL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

CANCELLED

Business

First Name

BRYAN

Middle

Last Name

CRISWELL

Suffix

Business Name

BRYAN K CRISWELL MD

Original Issue Date

04/17/2006

Effective Date

04/17/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60629

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008