BRANDON ROSS TOLMAN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059748

License Status

CANCELLED

Business

Title

First Name

BRANDON

Middle

ROSS

Last Name

TOLMAN

Business Name

BRANDON ROSS TOLMAN DO

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

05/07/2014