BRIANNA MARIE MINER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

Title

First Name

BRIANNA

Middle

MARIE

Last Name

MINER

Business Name

BRIANNA MARIE MINER MD

Original Issue Date

05/12/2020

Effective Date

05/12/2020

Expiration Date

07/31/2023

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023