VIRGINIA ANN SMITH-BRONSTEIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064273

License Status

CANCELLED

Business

Title

First Name

VIRGINIA

Middle

ANN

Last Name

SMITH-BRONSTEIN

Business Name

VIRGINIA ANN SMITH-BRONSTEIN MD

Original Issue Date

07/23/2018

Effective Date

07/23/2018

Expiration Date

07/22/2019

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

05/24/2018