EDEN D BRANDON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

First Name

EDEN D

Last Name

BRANDON

Business Name

EDEN D BRANDON

Original Issue Date

07/07/1998

Effective Date

07/07/1998

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60606

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020