DIANNE L BRANN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

Title

First Name

DIANNE

Middle

Last Name

BRANN

Business Name

DIANNE L BRANN MD

Original Issue Date

05/20/2015

Effective Date

05/20/2015

Expiration Date

07/31/2017

City

HARVEY

State

Zip

60426

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020