BRIAN A MACAULAY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

BRIAN A

Last Name

MACAULAY

Suffix

Business Name

BRIAN A MACAULAY MD

Original Issue Date

09/24/1993

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60618

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021