JACOB R BRAYBOY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120160

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

Last Name

BRAYBOY

Suffix

Business Name

JACOB R BRAYBOY MD

Original Issue Date

02/20/2008

Effective Date

04/28/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017