TIRA CHAICHA-BROM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055008

License Status

CANCELLED

Business

Title

First Name

TIRA

Last Name

CHAICHA-BROM

Business Name

TIRA CHAICHA-BROM MD

Original Issue Date

06/24/2008

Effective Date

06/24/2008

Expiration Date

06/23/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/27/2008