ROBERT J BRACO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

ROBERT J

Last Name

BRACO

Suffix

Business Name

ROBERT J BRACO MD

Original Issue Date

11/06/2009

Effective Date

07/14/2017

Expiration Date

09/30/2020

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021