TIMOTHY DAVID BRANDT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053252

License Status

NOT RENEWED

Business

First Name

TIMOTHY DAVID

Last Name

BRANDT

Suffix

Business Name

TIMOTHY DAVID BRANDT MD

Original Issue Date

08/19/1976

Effective Date

06/15/2017

Expiration Date

09/30/2020

City

LAKE IN THE HILLS

State

Zip

60156

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021

Case Number

1988002342

Action

Reprimand

Discipline Start Date

12/16/1988