MARIE A BRISTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

MARIE

Middle

Last Name

BRISTER

Suffix

Business Name

MARIE A BRISTER MD

Original Issue Date

11/13/1998

Effective Date

07/14/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60619

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017