TODD ROBERT BRACK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093203

License Status

ACTIVE

Business

First Name

TODD ROBERT

Last Name

BRACK

Suffix

Business Name

TODD ROBERT BRACK DO

Original Issue Date

06/15/1996

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

02/26/2024