DANA BRANCH MD - Medical Doctor License in Illinois | # 125069733

DANA BRANCH MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069733

License Status

CANCELLED

Business

N

Title

MD

First Name

DANA

Last Name

BRANCH

Business Name

DANA BRANCH MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

State

IL

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

N

LastModifiedDate

01/13/2017