BRANDON WILLIAM SEGREST DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

Title

First Name

BRANDON

Middle

WILLIAM

Last Name

SEGREST

Business Name

BRANDON WILLIAM SEGREST DO

Original Issue Date

05/20/2021

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

KANKAKEE

State

Zip

60901

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/01/2023