ERIC THOMAS BRATZ DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107953

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

THOMAS

Last Name

BRATZ

Suffix

Business Name

ERIC THOMAS BRATZ DO

Original Issue Date

10/03/2002

Effective Date

10/03/2002

Expiration Date

07/31/2005

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/09/2006