ADAM J BRAZE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000695

License Status

EXPIRED

Business

First Name

ADAM

Middle

Last Name

BRAZE

Suffix

Business Name

ADAM J BRAZE DO

Original Issue Date

09/01/2006

Effective Date

09/01/2006

Expiration Date

02/28/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Thoracic Surgery

Ever Disciplined

LastModifiedDate

03/14/2007