BRENDA L BRAK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022273

License Status

EXPIRED

Business

First Name

BRENDA L

Last Name

BRAK

Business Name

BRENDA L BRAK

Original Issue Date

05/11/1988

Effective Date

05/11/1988

Expiration Date

07/01/1991

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006