BRIGHAM R TEMPLE MD

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****29

ACTIVE

N

MD

BRIGHAM

R

TEMPLE

BRIGHAM R TEMPLE MD

03/25/2003

04/17/2023

07/31/2026

HIGHLAND PARK

IL

60035

LAKE

II III IV V

N

09/09/2025