BRYAN J KELLENBERGER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

ACTIVE

Business

First Name

BRYAN

Middle

Last Name

KELLENBERGER

Suffix

Business Name

BRYAN J KELLENBERGER MD

Original Issue Date

04/06/2010

Effective Date

05/23/2023

Expiration Date

07/31/2026

City

SHERMAN

State

Zip

62684

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/23/2023