DANIEL F BRANDT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116317

License Status

INACTIVE

Business

Title

First Name

DANIEL

Middle

Last Name

BRANDT

Business Name

DANIEL F BRANDT MD

Original Issue Date

06/27/2006

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2011