EDWARD L BRAUD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066106

License Status

NOT RENEWED

Business

First Name

EDWARD L

Last Name

BRAUD

Suffix

Business Name

EDWARD L BRAUD MD

Original Issue Date

02/22/1983

Effective Date

06/28/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62791

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021