BEVERLEE ANN BRISBIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

BEVERLEE

Middle

ANN

Last Name

BRISBIN

Suffix

Business Name

BEVERLEE ANN BRISBIN MD

Original Issue Date

01/18/2005

Effective Date

01/18/2005

Expiration Date

07/31/2008

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020