ELIZABETH MAE BRAHMBHATT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062706

License Status

CANCELLED

Business

Title

First Name

ELIZABETH

Middle

MAE

Last Name

BRAHMBHATT

Business Name

ELIZABETH MAE BRAHMBHATT MD

Original Issue Date

06/22/2013

Effective Date

06/22/2013

Expiration Date

06/21/2016

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

03/24/2014