BRYAN ANTHONY EBERLE 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

BRYAN

Middle

ANTHONY

Last Name

EBERLE

Business Name

BRYAN ANTHONY EBERLE MD

Original Issue Date

02/03/2015

Effective Date

05/03/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021