JACOB R BRAYBOY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

Last Name

BRAYBOY

Suffix

Business Name

JACOB R BRAYBOY MD

Original Issue Date

07/10/2008

Effective Date

07/03/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017