BRYAN GORDON BAROOTES MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

CANCELLED

Business

First Name

BRYAN

Middle

GORDON

Last Name

BAROOTES

Suffix

Business Name

BRYAN GORDON BAROOTES MD

Original Issue Date

09/21/1998

Effective Date

09/21/1998

Expiration Date

07/31/2002

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006