CAROLYN C BRANNON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

CANCELLED

Business

First Name

CAROLYN C

Last Name

BRANNON

Suffix

Business Name

CAROLYN C BRANNON MD

Original Issue Date

06/24/1988

Effective Date

06/24/1988

Expiration Date

07/31/2002

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006