ERIN L BRACKBILL - Medical Doctor License in Illinois | # 125039353

ERIN L BRACKBILL

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039353

License Status

EXPIRED

Business

N

First Name

ERIN

Middle

L

Last Name

BRACKBILL

Business Name

ERIN L BRACKBILL

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2002

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

09/22/2006