BRIAN M BRAITHWAITE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096170

License Status

ACTIVE

Business

First Name

BRIAN

Middle

Last Name

BRAITHWAITE

Suffix

Business Name

BRIAN M BRAITHWAITE MD

Original Issue Date

08/05/1997

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

06/07/2023