GEORGE T BRYAN JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

First Name

GEORGE

Middle

Last Name

BRYAN

Suffix

JR MD

Business Name

GEORGE T BRYAN JR MD

Original Issue Date

08/10/1995

Effective Date

06/26/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/26/2023