RANDY A BRAATEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000684

License Status

NOT RENEWED

Business

First Name

RANDY

Middle

Last Name

BRAATEN

Suffix

Business Name

RANDY A BRAATEN MD

Original Issue Date

08/28/2006

Effective Date

08/28/2006

Expiration Date

09/27/2006

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

11/03/2006