DAVID ALAN BRANDT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

First Name

DAVID

Middle

ALAN

Last Name

BRANDT

Suffix

Business Name

DAVID ALAN BRANDT MD

Original Issue Date

12/21/2004

Effective Date

04/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60609

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2023