ELIZABETH MAE BRAHMBHATT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

Title

First Name

ELIZABETH

Middle

MAE

Last Name

BRAHMBHATT

Business Name

ELIZABETH MAE BRAHMBHATT MD

Original Issue Date

11/19/2015

Effective Date

05/09/2017

Expiration Date

09/30/2020

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021