ANDREW ROBERT BRANAGAN - Medical Doctor License in Illinois | # 125057215

ANDREW ROBERT BRANAGAN

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057215

License Status

CANCELLED

Business

N

First Name

ANDREW

Middle

ROBERT

Last Name

BRANAGAN

Business Name

ANDREW ROBERT BRANAGAN

Original Issue Date

07/06/2009

Effective Date

07/06/2009

Expiration Date

07/05/2012

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

07/06/2009