BRANDON MATTHEW CALDWELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081127

License Status

ACTIVE

Business

Title

First Name

BRANDON

Middle

MATTHEW

Last Name

CALDWELL

Business Name

BRANDON MATTHEW CALDWELL MD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Interventional Radiology - Integrated

Ever Disciplined

LastModifiedDate

03/10/2023