KELLY NICOLE BRAY DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055007

License Status

CANCELLED

Business

Title

First Name

KELLY

Middle

NICOLE

Last Name

BRAY

Business Name

KELLY NICOLE BRAY DO

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/07/2008