JACK PAUL BRANT - Podiatrist License in Illinois | # 016003554

JACK PAUL BRANT

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003554

License Status

NOT RENEWED

Business

N

First Name

JACK PAUL

Last Name

BRANT

Business Name

JACK PAUL BRANT

Original Issue Date

06/24/1983

Effective Date

01/31/2005

Expiration Date

01/31/2007

State

IL

Ever Disciplined

Y

LastModifiedDate

01/08/2009

Case Number

2004003803

Action

Suspension

Discipline Start Date

01/08/2009

Discipline Reason

podiatrist license indefinitely suspended due to unprofessional conduct related to self medication and improper dispensing of controlled substances.