ERIC JEROME BRANDT MD - Medical Doctor License in Illinois | # 125062779

ERIC JEROME BRANDT MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062779

License Status

EXPIRED

Business

N

Title

MD

First Name

ERIC

Middle

JEROME

Last Name

BRANDT

Business Name

ERIC JEROME BRANDT MD

Original Issue Date

06/24/2013

Effective Date

06/24/2013

Expiration Date

06/23/2016

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

08/16/2016