TIMOTHY ALAN BRYAN Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****27

License Status

INACTIVE

Business

First Name

TIMOTHY

Middle

ALAN

Last Name

BRYAN

Business Name

TIMOTHY ALAN BRYAN

Original Issue Date

10/23/2012

Effective Date

12/07/2023

Expiration Date

03/01/2026

City

LINDENHURST

State

Zip

60046

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025