WILLIAM A BRANDENBURG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083474

License Status

NOT RENEWED

Business

First Name

WILLIAM A

Last Name

BRANDENBURG

Suffix

Business Name

WILLIAM A BRANDENBURG MD

Original Issue Date

09/13/1991

Effective Date

09/13/1991

Expiration Date

07/31/2002

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/09/2006