RICARDO BRAGANCA FONTES MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055776

License Status

CANCELLED

Business

Title

First Name

RICARDO

Middle

BRAGANCA

Last Name

FONTES

Business Name

RICARDO BRAGANCA FONTES MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

03/24/2014