WARREN MARK BRANDWEIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052947

License Status

CANCELLED

Business

Title

First Name

WARREN

Middle

MARK

Last Name

BRANDWEIN

Business Name

WARREN MARK BRANDWEIN MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2010

City

DEERFIELD

State

Zip

60015

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

05/15/2008