BRIAN E SCANLAN MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****93

NOT RENEWED

N

BRIAN

E

SCANLAN

MD

BRIAN E SCANLAN MD

08/12/1985

08/12/1985

07/31/2002

BLUE ISLAND

IL

60406

COOK

II III IV V

N

04/07/2011