MARY M BRAATEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

MARY M

Last Name

BRAATEN

Business Name

MARY M BRAATEN

Original Issue Date

07/31/1997

Effective Date

07/31/1997

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60647

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006