BRANDON TREVOR ECCLES DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154745

License Status

NOT RENEWED

Business

Title

First Name

BRANDON

Middle

TREVOR

Last Name

ECCLES

Business Name

BRANDON TREVOR ECCLES DO

Original Issue Date

11/13/2020

Effective Date

11/13/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60623

County

ADAMS

Ever Disciplined

LastModifiedDate

11/30/2023