ANTONIO BRAVO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021182

License Status

EXPIRED

Business

First Name

ANTONIO

Last Name

BRAVO

Suffix

Business Name

ANTONIO BRAVO MD

Original Issue Date

06/06/1987

Effective Date

06/06/1987

Expiration Date

07/01/1990

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006