BRYAN D STAFFIN DR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

BRYAN D

Last Name

STAFFIN DR

Business Name

BRYAN D STAFFIN DR

Original Issue Date

06/29/1988

Effective Date

06/29/1988

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006