BRANDON LEE BROWN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074125

License Status

CANCELLED

Business

Title

First Name

BRANDON

Middle

LEE

Last Name

BROWN

Business Name

BRANDON LEE BROWN MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2022

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

05/21/2020