MATTHEW ROSWELL BRAIG DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069518

License Status

EXPIRED

Business

Title

First Name

MATTHEW

Middle

ROSWELL

Last Name

BRAIG

Business Name

MATTHEW ROSWELL BRAIG DO

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Family Medicine and OMT

Ever Disciplined

LastModifiedDate

10/02/2019