CHRISTOPHER B BRANHAM DO - Medical Doctor License in Illinois | # 125067622

CHRISTOPHER B BRANHAM DO

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067622

License Status

CANCELLED

Business

N

Title

DO

First Name

CHRISTOPHER

Middle

B

Last Name

BRANHAM

Business Name

CHRISTOPHER B BRANHAM DO

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

06/11/2015