MERRILEE RENE BRANDT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024174

License Status

EXPIRED

Business

First Name

MERRILEE

Middle

RENE

Last Name

BRANDT

Suffix

Business Name

MERRILEE RENE BRANDT MD

Original Issue Date

06/21/1989

Effective Date

06/21/1989

Expiration Date

06/30/1994

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006