MERRILEE RENE BRANDT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

First Name

MERRILEE

Middle

RENE

Last Name

BRANDT

Suffix

Business Name

MERRILEE RENE BRANDT MD

Original Issue Date

07/16/1999

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

CENTRALIA

State

Zip

62801

County

MARION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2023