BRANDT DAVID WHITEHURST MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141214

License Status

ACTIVE

Business

Title

First Name

BRANDT

Middle

DAVID

Last Name

WHITEHURST

Business Name

BRANDT DAVID WHITEHURST MD

Original Issue Date

07/13/2016

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/18/2023