BRYCE JAHNOTHAN BRAAKSMA DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062865

License Status

CANCELLED

Business

Title

First Name

BRYCE

Middle

JAHNOTHAN

Last Name

BRAAKSMA

Business Name

BRYCE JAHNOTHAN BRAAKSMA DO

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2018

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

05/27/2016