MATTHEW J BRANDON - Medical Doctor License in Illinois | # 125039344

MATTHEW J BRANDON

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039344

License Status

EXPIRED

Business

N

First Name

MATTHEW

Middle

J

Last Name

BRANDON

Business Name

MATTHEW J BRANDON

Original Issue Date

06/14/1999

Effective Date

06/14/1999

Expiration Date

06/13/2002

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006