ROBERT A BRAASTAD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

First Name

ROBERT A

Last Name

BRAASTAD

Business Name

ROBERT A BRAASTAD

Original Issue Date

07/21/1995

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

NORMAL

State

Zip

61761

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/08/2023