BRIAN BARRIOS AYUSTE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

Title

First Name

BRIAN

Middle

BARRIOS

Last Name

AYUSTE

Business Name

BRIAN BARRIOS AYUSTE MD

Original Issue Date

05/25/2010

Effective Date

06/13/2011

Expiration Date

07/31/2014

City

BOLINGBROOK

State

Zip

60440

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014