BRYAN ALAN CAMPBELL DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

Title

First Name

BRYAN

Middle

ALAN

Last Name

CAMPBELL

Business Name

BRYAN ALAN CAMPBELL DO

Original Issue Date

06/18/2014

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021