JACK PAUL BRANT Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003554

License Status

NOT RENEWED

Business

First Name

JACK PAUL

Last Name

BRANT

Business Name

JACK PAUL BRANT

Original Issue Date

06/24/1983

Effective Date

01/31/2005

Expiration Date

01/31/2007

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2009

Case Number

2004003803

Action

Suspension

Discipline Start Date

01/08/2009

Discipline Reason

podiatrist license indefinitely suspended due to unprofessional conduct related to self medication and improper dispensing of controlled substances.