BRANNAN BROOKS GRIFFIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066848

License Status

CANCELLED

Business

Title

First Name

BRANNAN

Middle

BROOKS

Last Name

GRIFFIN

Business Name

BRANNAN BROOKS GRIFFIN MD

Original Issue Date

06/23/2015

Effective Date

06/23/2015

Expiration Date

06/22/2018

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

05/27/2015