BRYAN DAVID MACRIE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

Title

First Name

BRYAN

Middle

DAVID

Last Name

MACRIE

Business Name

BRYAN DAVID MACRIE MD

Original Issue Date

05/13/2014

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60123

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023