ERIC M BRAVO - Medical Doctor License in Illinois | # 125035951

ERIC M BRAVO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035951

License Status

EXPIRED

Business

N

First Name

ERIC

Middle

M

Last Name

BRAVO

Business Name

ERIC M BRAVO

Original Issue Date

05/12/1997

Effective Date

05/12/1997

Expiration Date

06/16/2000

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006