LINDSEY NICOLE FARAH BRUNNER 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

Title

First Name

LINDSEY

Middle

NICOLE

Last Name

FARAH BRUNNER

Business Name

LINDSEY NICOLE FARAH BRUNNER MD

Original Issue Date

02/18/2016

Effective Date

02/18/2016

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017