JONATHAN J BRODIE - Medical Doctor License in Illinois | # 130000135

JONATHAN J BRODIE

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000135

License Status

EXPIRED

Business

N

First Name

JONATHAN

Middle

J

Last Name

BRODIE

Business Name

JONATHAN J BRODIE

Original Issue Date

05/25/1990

Effective Date

05/25/1990

Expiration Date

09/23/1990

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

09/25/2006