MICHAEL JAMES BRODY MD - Medical Doctor License in Illinois | # 125056285

MICHAEL JAMES BRODY MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056285

License Status

EXPIRED

Business

N

Title

MD

First Name

MICHAEL

Middle

JAMES

Last Name

BRODY

Business Name

MICHAEL JAMES BRODY MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2014

State

IL

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

N

LastModifiedDate

03/13/2015