BRANDY ELVENE BURGOS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075499

License Status

CANCELLED

Business

Title

First Name

BRANDY

Middle

ELVENE

Last Name

BURGOS

Business Name

BRANDY ELVENE BURGOS MD

Original Issue Date

06/23/2020

Effective Date

06/23/2020

Expiration Date

06/22/2023

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/08/2020