BRANT TODD HENIFORD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036176095

License Status

ACTIVE

Business

Title

First Name

BRANT

Middle

TODD

Last Name

HENIFORD

Business Name

BRANT TODD HENIFORD MD

Original Issue Date

07/16/2025

Effective Date

07/16/2025

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60646

Ever Disciplined

LastModifiedDate

07/09/2025