RANDALL ELLIOT BRAND MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

RANDALL

Middle

ELLIOT

Last Name

BRAND

Suffix

Business Name

RANDALL ELLIOT BRAND MD

Original Issue Date

04/11/2002

Effective Date

04/11/2002

Expiration Date

07/31/2008

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008