PHILIP J BRANSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066958

License Status

INACTIVE

Business

First Name

PHILIP J

Last Name

BRANSON

Suffix

Business Name

PHILIP J BRANSON MD

Original Issue Date

07/15/1983

Effective Date

07/15/1983

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006