STANLEY DEAN BRANDON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

STANLEY DEAN

Last Name

BRANDON

Suffix

Business Name

STANLEY DEAN BRANDON MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

DEKALB

State

Zip

60115

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011