HERBERT F BRAVO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

First Name

HERBERT F

Last Name

BRAVO

Business Name

HERBERT F BRAVO

Original Issue Date

10/22/1991

Effective Date

10/22/1991

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II IV V

Ever Disciplined

LastModifiedDate

09/26/2006