BRANDON WADE COVERT DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109775

License Status

NOT RENEWED

Business

First Name

BRANDON

Middle

WADE

Last Name

COVERT

Suffix

Business Name

BRANDON WADE COVERT DO

Original Issue Date

07/25/2003

Effective Date

04/19/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014