BRANDON TODD CHARLES MD - Medical Doctor License in Illinois | # 125062569

BRANDON TODD CHARLES MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062569

License Status

EXPIRED

Business

N

First Name

BRANDON

Middle

TODD

Last Name

CHARLES

Suffix

MD

Business Name

BRANDON TODD CHARLES MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

08/16/2016