ROBERT STEPHEN BROSSARD MD - Medical Doctor License in Illinois | # 125016885

ROBERT STEPHEN BROSSARD MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016885

License Status

EXPIRED

Business

N

Title

MD

First Name

ROBERT

Middle

STEPHEN

Last Name

BROSSARD

Business Name

ROBERT STEPHEN BROSSARD MD

Original Issue Date

06/01/1984

Effective Date

06/01/1984

Expiration Date

05/01/1986

State

IL

Ever Disciplined

N

LastModifiedDate

09/22/2006