BRYAN R HERRON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

BRYAN R

Last Name

HERRON

Business Name

BRYAN R HERRON

Original Issue Date

02/20/1996

Effective Date

02/20/1996

Expiration Date

07/31/1999

City

WILDWOOD

State

Zip

60030

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006