BRANDON WADE COVERT DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040504

License Status

EXPIRED

Business

First Name

BRANDON

Middle

WADE

Last Name

COVERT

Suffix

Business Name

BRANDON WADE COVERT DO

Original Issue Date

10/01/1999

Effective Date

10/01/1999

Expiration Date

09/30/2003

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006