BRIAN RANDOLPH DYSON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072318

License Status

EXPIRED

Business

Title

First Name

BRIAN

Middle

RANDOLPH

Last Name

DYSON

Business Name

BRIAN RANDOLPH DYSON DO

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2020

City

MARIETTA

State

Zip

45750

Specialty/Qualifier

Critical Care Medicine

Ever Disciplined

LastModifiedDate

11/19/2020