JAMILA MELANIE BENN BRISON 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

JAMILA

Middle

MELANIE

Last Name

BENN BRISON

Suffix

Business Name

JAMILA MELANIE BENN BRISON MD

Original Issue Date

07/05/2006

Effective Date

07/05/2006

Expiration Date

07/31/2008

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008