KANESHA L BRYANT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

ACTIVE

Business

Title

First Name

KANESHA

Middle

Last Name

BRYANT

Business Name

KANESHA L BRYANT MD

Original Issue Date

09/02/2009

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

MATTESON

State

Zip

60443

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/08/2023