GEORGE BRANOVACKI Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040001

License Status

CANCELLED

Business

First Name

GEORGE

Last Name

BRANOVACKI

Business Name

GEORGE BRANOVACKI

Original Issue Date

06/24/1999

Effective Date

06/24/1999

Expiration Date

06/23/2004

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

10/03/2006