BRETT A COLLANDER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055800

License Status

CANCELLED

Business

Title

First Name

BRETT

Middle

Last Name

COLLANDER

Business Name

BRETT A COLLANDER MD

Original Issue Date

06/23/2009

Effective Date

06/23/2009

Expiration Date

06/22/2012

City

ELMHURST

State

Zip

60126

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/02/2009