TYSON O BRYANT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115183

License Status

NOT RENEWED

Business

First Name

TYSON

Middle

Last Name

BRYANT

Business Name

TYSON O BRYANT

Original Issue Date

02/01/2006

Effective Date

07/11/2011

Expiration Date

07/31/2014

City

MADISON

State

Zip

53717

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/17/2014