GREGORY P BRANDT Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091442

License Status

ACTIVE

Business

First Name

GREGORY P

Last Name

BRANDT

Business Name

GREGORY P BRANDT

Original Issue Date

07/27/1995

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/17/2023