MICHAEL TIMOTHY BROMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052840

License Status

EXPIRED

Business

Title

First Name

MICHAEL

Middle

TIMOTHY

Last Name

BROMAN

Business Name

MICHAEL TIMOTHY BROMAN MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2010

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Cardiovascular Disease

Ever Disciplined

LastModifiedDate

07/08/2010