RONALD L BRAZG - Medical Doctor License in Illinois | # 125023101

RONALD L BRAZG

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023101

License Status

EXPIRED

Business

N

First Name

RONALD

Middle

L

Last Name

BRAZG

Business Name

RONALD L BRAZG

Original Issue Date

08/09/1988

Effective Date

08/09/1988

Expiration Date

08/01/1991

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006