NATHANIEL STEVEN BRACKETT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042518

License Status

EXPIRED

Business

First Name

NATHANIEL

Middle

STEVEN

Last Name

BRACKETT

Suffix

Business Name

NATHANIEL STEVEN BRACKETT MD

Original Issue Date

06/24/2001

Effective Date

06/24/2001

Expiration Date

06/23/2004

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006