RONALD L BRAZG Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023101

License Status

EXPIRED

Business

First Name

RONALD

Middle

Last Name

BRAZG

Business Name

RONALD L BRAZG

Original Issue Date

08/09/1988

Effective Date

08/09/1988

Expiration Date

08/01/1991

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006