BRYCE JAHNOTHAN BRAAKSMA DO - Medical Doctor License in Illinois | # 036143224

BRYCE JAHNOTHAN BRAAKSMA DO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143224

License Status

NOT RENEWED

Business

N

Title

DO

First Name

BRYCE

Middle

JAHNOTHAN

Last Name

BRAAKSMA

Business Name

BRYCE JAHNOTHAN BRAAKSMA DO

Original Issue Date

05/17/2017

Effective Date

05/17/2017

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021