THOMAS BRACK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035583

License Status

EXPIRED

Business

First Name

THOMAS

Last Name

BRACK

Business Name

THOMAS BRACK

Original Issue Date

12/24/1996

Effective Date

12/24/1996

Expiration Date

06/30/2000

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006