JACK PAUL BRANT Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****57

License Status

NOT RENEWED

Business

First Name

JACK PAUL

Last Name

BRANT

Business Name

JACK PAUL BRANT

Original Issue Date

06/06/1984

Effective Date

06/06/1984

Expiration Date

01/31/2007

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/16/2007