BRAYTON PETER KIEDROWSKI DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070157

License Status

EXPIRED

Business

Title

First Name

BRAYTON

Middle

PETER

Last Name

KIEDROWSKI

Business Name

BRAYTON PETER KIEDROWSKI DO

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/19/2020