BRANDON K CONNERLY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039855

License Status

EXPIRED

Business

First Name

BRANDON

Middle

Last Name

CONNERLY

Business Name

BRANDON K CONNERLY

Original Issue Date

06/21/1999

Effective Date

06/21/1999

Expiration Date

06/20/2002

City

RIVER FOREST

State

Zip

60305

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006