MARK THOMPSON BRANDT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

MARK

Middle

THOMPSON

Last Name

BRANDT

Suffix

Business Name

MARK THOMPSON BRANDT MD

Original Issue Date

07/07/1992

Effective Date

07/07/1992

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020