R T BRANNEGAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052058

License Status

INACTIVE

Business

First Name

R T

Last Name

BRANNEGAN

Suffix

Business Name

R T BRANNEGAN MD

Original Issue Date

11/14/1975

Effective Date

05/15/2017

Expiration Date

09/30/2020

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

04/05/2020