BRANDON J WATSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111486

License Status

NOT RENEWED

Business

First Name

BRANDON

Middle

Last Name

WATSON

Suffix

Business Name

BRANDON J WATSON MD

Original Issue Date

05/27/2004

Effective Date

05/26/2014

Expiration Date

07/31/2017

City

SURPRISE

State

Zip

85388

Ever Disciplined

LastModifiedDate

11/01/2017

Case Number

2016006545

Action

Suspension

Discipline Start Date

10/07/2016

Discipline End Date

01/13/2017

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 01/17/2017.