THOMAS R BRANDER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

ACTIVE

Business

First Name

THOMAS R

Last Name

BRANDER

Suffix

Business Name

THOMAS R BRANDER MD

Original Issue Date

08/08/1995

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/22/2023