JENNIFER A BRACKNEY DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110666

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

BRACKNEY

Suffix

Business Name

JENNIFER A BRACKNEY DO

Original Issue Date

01/08/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008