MARK THOMPSON BRANDT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

MARK

Middle

THOMPSON

Last Name

BRANDT

Suffix

Business Name

MARK THOMPSON BRANDT MD

Original Issue Date

12/18/1997

Effective Date

12/18/1997

Expiration Date

07/31/1999

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020