BRANDON KEITH WILLS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

First Name

BRANDON

Middle

KEITH

Last Name

WILLS

Suffix

Business Name

BRANDON KEITH WILLS DO

Original Issue Date

06/18/2003

Effective Date

06/18/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011