BRANDON KEITH NANCE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072117

License Status

CANCELLED

Business

Title

First Name

BRANDON

Middle

KEITH

Last Name

NANCE

Business Name

BRANDON KEITH NANCE DO

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

12/31/2021

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/03/2021