THOMAS DEAN BRANDT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

THOMAS DEAN

Last Name

BRANDT

Suffix

Business Name

THOMAS DEAN BRANDT MD

Original Issue Date

08/31/1993

Effective Date

08/31/1993

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006