BRIAN ALEXANDER BRAITHWAITE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059899

License Status

CANCELLED

Business

Title

First Name

BRIAN

Middle

ALEXANDER

Last Name

BRAITHWAITE

Business Name

BRIAN ALEXANDER BRAITHWAITE MD

Original Issue Date

06/23/2014

Effective Date

06/23/2014

Expiration Date

06/22/2015

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/24/2014