ELIZABETH JORDAN BRANDT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063040

License Status

EXPIRED

Business

Title

First Name

ELIZABETH

Middle

JORDAN

Last Name

BRANDT

Business Name

ELIZABETH JORDAN BRANDT MD

Original Issue Date

06/23/2013

Effective Date

06/23/2013

Expiration Date

06/22/2016

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

08/16/2016