ALICE G BRANDFONBRENER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

ALICE G

Last Name

BRANDFONBRENER

Suffix

Business Name

ALICE G BRANDFONBRENER MD

Original Issue Date

01/01/1997

Effective Date

04/28/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

11/17/2014