KENNETH R BRANTON MD - Medical Doctor License in Illinois | # 125028258

KENNETH R BRANTON MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028258

License Status

EXPIRED

Business

N

First Name

KENNETH R

Last Name

BRANTON

Suffix

MD

Business Name

KENNETH R BRANTON MD

Original Issue Date

05/20/1992

Effective Date

05/20/1992

Expiration Date

06/23/1997

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

09/22/2006