BRENDAN THOMAS PARKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

Title

First Name

BRENDAN

Middle

THOMAS

Last Name

PARKER

Business Name

BRENDAN THOMAS PARKER MD

Original Issue Date

07/27/2018

Effective Date

07/27/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60631

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021