BRIAN D PROCTOR DO

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****28

ACTIVE

N

BRIAN D

PROCTOR

DO

BRIAN D PROCTOR DO

09/21/1994

07/26/2023

07/31/2026

MELROSE PARK

IL

60160

COOK

II III IV V

N

07/26/2023