DANIEL F BRANDT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

Title

First Name

DANIEL

Middle

Last Name

BRANDT

Business Name

DANIEL F BRANDT MD

Original Issue Date

02/06/2007

Effective Date

02/06/2007

Expiration Date

07/31/2008

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011