JEFFREY MITCHELL BRAXTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

JEFFREY MITCHELL

Last Name

BRAXTON

Suffix

Business Name

JEFFREY MITCHELL BRAXTON MD

Original Issue Date

07/27/1992

Effective Date

05/08/2017

Expiration Date

09/30/2020

City

AURORA

State

Zip

60504

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021