JOHN BRAVO DACANAY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

First Name

JOHN BRAVO

Last Name

DACANAY

Suffix

Business Name

JOHN BRAVO DACANAY MD

Original Issue Date

03/14/1996

Effective Date

03/14/1996

Expiration Date

07/31/2008

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008