MARCIA A BRONTMAN - Medical Doctor License in Illinois | # 125024774

MARCIA A BRONTMAN

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024774

License Status

EXPIRED

Business

N

First Name

MARCIA A

Last Name

BRONTMAN

Business Name

MARCIA A BRONTMAN

Original Issue Date

05/14/1990

Effective Date

05/14/1990

Expiration Date

06/20/1993

State

IL

Specialty/Qualifier

Psychiatry

Ever Disciplined

N

LastModifiedDate

09/22/2006