MATTHEW SCOTT BRODHEAD - Medical Doctor License in Illinois | # 125081439

MATTHEW SCOTT BRODHEAD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081439

License Status

ACTIVE

Business

N

First Name

MATTHEW

Middle

SCOTT

Last Name

BRODHEAD

Business Name

MATTHEW SCOTT BRODHEAD

Original Issue Date

06/22/2023

Effective Date

06/22/2023

Expiration Date

06/21/2026

State

IL

Specialty/Qualifier

Neurology

Ever Disciplined

N

LastModifiedDate

04/03/2026