BRIAN ANTHONY BIANCO DO MBA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

Title

MBA

First Name

BRIAN

Middle

ANTHONY

Last Name

BIANCO

Suffix

Business Name

BRIAN ANTHONY BIANCO DO MBA

Original Issue Date

05/16/2008

Effective Date

05/16/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011