MARISA LORA BRANT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036171625

License Status

ACTIVE

Business

Title

First Name

MARISA

Middle

LORA

Last Name

BRANT

Business Name

MARISA LORA BRANT MD

Original Issue Date

08/19/2024

Effective Date

08/19/2024

Expiration Date

07/31/2026

City

MADISON

State

Zip

53715

Ever Disciplined

LastModifiedDate

08/19/2024