SUSANA Z BRANDT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

SUSANA

Middle

Last Name

BRANDT

Business Name

SUSANA Z BRANDT

Original Issue Date

07/14/2003

Effective Date

07/14/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011