BRIAN ALEXANDER BRAITHWAITE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

Title

First Name

BRIAN

Middle

ALEXANDER

Last Name

BRAITHWAITE

Business Name

BRIAN ALEXANDER BRAITHWAITE MD

Original Issue Date

05/20/2015

Effective Date

05/20/2015

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020