BRIAN JOSEPH MEDERNACH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

ACTIVE

Business

First Name

BRIAN

Middle

JOSEPH

Last Name

MEDERNACH

Suffix

Business Name

BRIAN JOSEPH MEDERNACH MD

Original Issue Date

08/03/2010

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023