BRIAN S DUNLEAVY Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

ACTIVE

Business

First Name

BRIAN S

Last Name

DUNLEAVY

Business Name

BRIAN S DUNLEAVY

Original Issue Date

07/21/1995

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

GENEVA

State

Zip

60134

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023