BRIAN ROBERT BRAAKSMA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129830

License Status

NOT RENEWED

Business

Title

First Name

BRIAN

Middle

ROBERT

Last Name

BRAAKSMA

Business Name

BRIAN ROBERT BRAAKSMA MD

Original Issue Date

03/26/2012

Effective Date

05/19/2020

Expiration Date

07/31/2023

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/30/2023