BRIAN R MOLSTAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

BRIAN R

Last Name

MOLSTAD

Suffix

Business Name

BRIAN R MOLSTAD MD

Original Issue Date

06/17/1988

Effective Date

06/17/1988

Expiration Date

07/31/1990

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006