DAVID ANDREW BRAUN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

ANDREW

Last Name

BRAUN

Business Name

DAVID ANDREW BRAUN MD

Original Issue Date

03/16/2004

Effective Date

03/16/2004

Expiration Date

07/31/2005

City

PEORIA

State

Zip

61636

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020