JUSTIN D BRAVERMAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041128

License Status

EXPIRED

Business

First Name

JUSTIN

Middle

Last Name

BRAVERMAN

Business Name

JUSTIN D BRAVERMAN

Original Issue Date

07/14/2004

Effective Date

07/14/2004

Expiration Date

07/13/2006

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006