WAYNE ALAN BREARLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

First Name

WAYNE

Middle

ALAN

Last Name

BREARLEY

Suffix

Business Name

WAYNE ALAN BREARLEY MD

Original Issue Date

05/18/2000

Effective Date

05/18/2000

Expiration Date

07/31/2005

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006