SCOTT MARTIN BRANNAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

MARTIN

Last Name

BRANNAN

Suffix

Business Name

SCOTT MARTIN BRANNAN MD

Original Issue Date

08/02/2011

Effective Date

08/07/2014

Expiration Date

07/31/2017

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Controlled Substance Schedule

III IV

Ever Disciplined

LastModifiedDate

04/05/2020