BRIAN ROBERT BRAAKSMA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052026

License Status

EXPIRED

Business

Title

First Name

BRIAN

Middle

ROBERT

Last Name

BRAAKSMA

Business Name

BRIAN ROBERT BRAAKSMA MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

07/19/2011