BRYCE JAHNOTHAN BRAAKSMA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143224

License Status

NOT RENEWED

Business

Title

First Name

BRYCE

Middle

JAHNOTHAN

Last Name

BRAAKSMA

Business Name

BRYCE JAHNOTHAN BRAAKSMA DO

Original Issue Date

05/17/2017

Effective Date

05/17/2017

Expiration Date

09/30/2020

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021