LARRY RONNELL BRAZLEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052951

License Status

ACTIVE

Business

First Name

LARRY RONNELL

Last Name

BRAZLEY

Suffix

Business Name

LARRY RONNELL BRAZLEY MD

Original Issue Date

07/15/1976

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023