ERIC JEROME BRANDT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062779

License Status

EXPIRED

Business

Title

First Name

ERIC

Middle

JEROME

Last Name

BRANDT

Business Name

ERIC JEROME BRANDT MD

Original Issue Date

06/24/2013

Effective Date

06/24/2013

Expiration Date

06/23/2016

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/16/2016