BRIAN M BRAITHWAITE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

First Name

BRIAN

Middle

Last Name

BRAITHWAITE

Suffix

Business Name

BRIAN M BRAITHWAITE MD

Original Issue Date

08/01/2001

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60661

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2023