BRIAN DEXTER LIEM DO

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****53

ACTIVE

N

DO

BRIAN

DEXTER

LIEM

BRIAN DEXTER LIEM DO

04/18/2017

06/23/2023

07/31/2026

MAYWOOD

IL

60153

COOK

PRACTITIONER

II III IV V

N

06/23/2023