HERBERT F BRAVO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025780

License Status

EXPIRED

Business

First Name

HERBERT F

Last Name

BRAVO

Business Name

HERBERT F BRAVO

Original Issue Date

06/28/1990

Effective Date

06/28/1990

Expiration Date

06/24/1993

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006