BRANDY ELIZABETH MERRITT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

BRANDY

Middle

ELIZABETH

Last Name

MERRITT

Suffix

Business Name

BRANDY ELIZABETH MERRITT MD

Original Issue Date

05/07/2010

Effective Date

07/20/2017

Expiration Date

09/30/2020

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021