BENJAMIN SAMUEL HARRIS BRYANT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

Title

First Name

BENJAMIN

Middle

SAMUEL HARRIS

Last Name

BRYANT

Business Name

BENJAMIN SAMUEL HARRIS BRYANT MD

Original Issue Date

06/21/2023

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/16/2023