R T BRANNEGAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

R T

Last Name

BRANNEGAN

Suffix

Business Name

R T BRANNEGAN MD

Original Issue Date

01/01/1997

Effective Date

05/15/2017

Expiration Date

09/30/2020

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021