BRUCE BRANTMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013388

License Status

EXPIRED

Business

First Name

BRUCE

Last Name

BRANTMAN

Suffix

Business Name

BRUCE BRANTMAN MD

Original Issue Date

07/24/1981

Effective Date

07/24/1981

Expiration Date

07/01/1983

City

PARK RIDGE

State

Zip

60608

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006