MITCHELL A BRACK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020498

License Status

EXPIRED

Business

First Name

MITCHELL A

Last Name

BRACK

Suffix

Business Name

MITCHELL A BRACK MD

Original Issue Date

04/22/1987

Effective Date

04/22/1987

Expiration Date

06/25/1990

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006