RYAN M BRAUN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041336

License Status

EXPIRED

Business

First Name

RYAN

Middle

Last Name

BRAUN

Business Name

RYAN M BRAUN

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2005

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006