JEFFREY MITCHELL BRAXTON MD - Medical Doctor License in Illinois | # 125024007

JEFFREY MITCHELL BRAXTON MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024007

License Status

EXPIRED

Business

N

First Name

JEFFREY MITCHELL

Last Name

BRAXTON

Suffix

MD

Business Name

JEFFREY MITCHELL BRAXTON MD

Original Issue Date

05/31/1989

Effective Date

05/31/1989

Expiration Date

06/26/1992

State

IL

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

N

LastModifiedDate

09/22/2006