BRANDON BERNARD BLEESS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062908

License Status

CANCELLED

Business

Title

First Name

BRANDON

Middle

BERNARD

Last Name

BLEESS

Business Name

BRANDON BERNARD BLEESS MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

03/24/2014