EDEN D BRANDON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030392

License Status

EXPIRED

Business

First Name

EDEN D

Last Name

BRANDON

Business Name

EDEN D BRANDON

Original Issue Date

06/17/1993

Effective Date

06/17/1993

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006