KEVIN D BRANDSTETTER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048102

License Status

EXPIRED

Business

First Name

KEVIN

Middle

Last Name

BRANDSTETTER

Business Name

KEVIN D BRANDSTETTER

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/03/2007