MARY M BRAATEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031034

License Status

EXPIRED

Business

First Name

MARY M

Last Name

BRAATEN

Business Name

MARY M BRAATEN

Original Issue Date

05/09/1994

Effective Date

05/09/1994

Expiration Date

06/19/1997

City

OAK PARK

State

Zip

60601

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006