MICHAEL D BROTTMAN MD - Medical Doctor License in Illinois | # 125019753

MICHAEL D BROTTMAN MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019753

License Status

EXPIRED

Business

N

First Name

MICHAEL D

Last Name

BROTTMAN

Suffix

MD

Business Name

MICHAEL D BROTTMAN MD

Original Issue Date

06/26/1986

Effective Date

06/26/1986

Expiration Date

06/22/1989

State

IL

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

N

LastModifiedDate

09/22/2006