BRENDA L BRAK Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

First Name

BRENDA L

Last Name

BRAK

Business Name

BRENDA L BRAK

Original Issue Date

07/30/1990

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

BARRINGTON

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023