OLESYA BRANDIS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053356

License Status

CANCELLED

Business

Title

First Name

OLESYA

Last Name

BRANDIS

Business Name

OLESYA BRANDIS MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

04/27/2007