ANDREA V BRASCH MD - Medical Doctor License in Illinois | # 125043649

ANDREA V BRASCH MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043649

License Status

EXPIRED

Business

N

First Name

ANDREA

Middle

V

Last Name

BRASCH

Suffix

MD

Business Name

ANDREA V BRASCH MD

Original Issue Date

07/06/2001

Effective Date

07/06/2001

Expiration Date

07/05/2004

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

10/03/2006