LAUREN NICOLE BRANKLE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059124

License Status

EXPIRED

Business

Title

First Name

LAUREN

Middle

NICOLE

Last Name

BRANKLE

Business Name

LAUREN NICOLE BRANKLE DO

Original Issue Date

06/20/2014

Effective Date

06/20/2014

Expiration Date

07/23/2014

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/13/2015