BRANDON GARRY ISAACS DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

CANCELLED

Business

First Name

BRANDON

Middle

GARRY

Last Name

ISAACS

Suffix

Business Name

BRANDON GARRY ISAACS DO

Original Issue Date

11/08/2000

Effective Date

11/08/2000

Expiration Date

07/31/2005

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/09/2006