JUSTIN D BRAVERMAN - Medical Doctor License in Illinois | # 125041128

JUSTIN D BRAVERMAN

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041128

License Status

EXPIRED

Business

N

First Name

JUSTIN

Middle

D

Last Name

BRAVERMAN

Business Name

JUSTIN D BRAVERMAN

Original Issue Date

07/14/2004

Effective Date

07/14/2004

Expiration Date

07/13/2006

State

IL

Specialty/Qualifier

General Surgery

Ever Disciplined

N

LastModifiedDate

09/22/2006