MARK L BRANCEL - Medical Doctor License in Illinois | # 106000010

MARK L BRANCEL

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000010

License Status

EXPIRED

Business

N

First Name

MARK

Middle

L

Last Name

BRANCEL

Business Name

MARK L BRANCEL

Original Issue Date

12/21/1994

Effective Date

12/21/1994

Expiration Date

05/16/1995

State

IL

Ever Disciplined

N

LastModifiedDate

09/23/2006