MELISSA LEE BRANNEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

LEE

Last Name

BRANNEN

Suffix

Business Name

MELISSA LEE BRANNEN MD

Original Issue Date

07/13/2006

Effective Date

06/15/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014