ROBERT C BRAZIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

ROBERT C

Last Name

BRAZIS

Suffix

Business Name

ROBERT C BRAZIS MD

Original Issue Date

08/25/1986

Effective Date

08/25/1986

Expiration Date

07/31/1990

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006