PAUL WAYNE BRAZIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052387

License Status

NOT RENEWED

Business

First Name

PAUL WAYNE

Last Name

BRAZIS

Suffix

Business Name

PAUL WAYNE BRAZIS MD

Original Issue Date

03/11/1976

Effective Date

03/11/1976

Expiration Date

07/31/1984

City

WILLOW SPRINGS

State

Zip

60480

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006