KRISTOFFER MEYERS BREIEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

KRISTOFFER

Middle

MEYERS

Last Name

BREIEN

Suffix

Business Name

KRISTOFFER MEYERS BREIEN MD

Original Issue Date

05/19/2003

Effective Date

05/19/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006