AMANDA MICHELLE BRAMHAM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058522

License Status

CANCELLED

Business

First Name

AMANDA

Middle

MICHELLE

Last Name

BRAMHAM

Suffix

Business Name

AMANDA MICHELLE BRAMHAM MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/07/2010