TIRA CHAICHA-BROM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126337

License Status

NOT RENEWED

Business

Title

First Name

TIRA

Last Name

CHAICHA-BROM

Business Name

TIRA CHAICHA-BROM MD

Original Issue Date

07/27/2010

Effective Date

05/11/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014