GARRY L BRAKE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025018

License Status

EXPIRED

Business

First Name

GARRY

Middle

Last Name

BRAKE

Business Name

GARRY L BRAKE

Original Issue Date

05/24/1990

Effective Date

05/24/1990

Expiration Date

06/30/1995

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006