BRYAN D COUNTS MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****26

NOT RENEWED

N

BRYAN D

COUNTS

MD

BRYAN D COUNTS MD

06/27/1983

06/27/1983

07/31/1987

WHEATON

IL

60187

DUPAGE

II III IV V

N

04/07/2011