BRANDON JAMES WYNN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121112

License Status

ACTIVE

Business

First Name

BRANDON

Middle

JAMES

Last Name

WYNN

Suffix

Business Name

BRANDON JAMES WYNN DO

Original Issue Date

06/06/2008

Effective Date

07/09/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/09/2023