MICHAEL BRIAN KRAFT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072392

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

BRIAN

Last Name

KRAFT

Business Name

MICHAEL BRIAN KRAFT MD

Original Issue Date

06/23/2018

Effective Date

06/23/2018

Expiration Date

06/22/2021

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/16/2018