ERIN L BRACKBILL - Medical Doctor License in Illinois | # 036106564

ERIN L BRACKBILL

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106564

License Status

NOT RENEWED

Business

N

First Name

ERIN

Middle

L

Last Name

BRACKBILL

Business Name

ERIN L BRACKBILL

Original Issue Date

03/21/2002

Effective Date

03/21/2002

Expiration Date

07/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/27/2006