SUSAN C BRILEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

SUSAN C

Last Name

BRILEY

Suffix

Business Name

SUSAN C BRILEY MD

Original Issue Date

09/09/1986

Effective Date

09/09/1986

Expiration Date

07/31/1996

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006