BRIAN M BRAITHWAITE MD - Medical Doctor License in Illinois | # 125033208

BRIAN M BRAITHWAITE MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033208

License Status

EXPIRED

Business

N

First Name

BRIAN

Middle

M

Last Name

BRAITHWAITE

Suffix

MD

Business Name

BRIAN M BRAITHWAITE MD

Original Issue Date

06/08/1995

Effective Date

06/08/1995

Expiration Date

06/30/1998

State

IL

Ever Disciplined

N

LastModifiedDate

09/22/2006