BRANDON MINER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131410

License Status

NOT RENEWED

Business

Title

First Name

BRANDON

Last Name

MINER

Business Name

BRANDON MINER DO

Original Issue Date

09/17/2012

Effective Date

09/17/2012

Expiration Date

07/31/2014

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/17/2014