MICHELLE J BRANDHORST Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

CANCELLED

Business

First Name

MICHELLE

Middle

Last Name

BRANDHORST

Business Name

MICHELLE J BRANDHORST

Original Issue Date

08/09/1999

Effective Date

08/09/1999

Expiration Date

07/31/2002

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006