BRANT TODD HENIFORD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

Title

First Name

BRANT

Middle

TODD

Last Name

HENIFORD

Business Name

BRANT TODD HENIFORD MD

Original Issue Date

07/17/2025

Effective Date

07/17/2025

Expiration Date

07/31/2026

City

CHARLOTTE

State

Zip

28209

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

11/12/2025