ANTONIO BRAVO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

First Name

ANTONIO

Last Name

BRAVO

Suffix

Business Name

ANTONIO BRAVO MD

Original Issue Date

06/15/1989

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2023