STEVEN ANDREW BROFSKY Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

CANCELLED

Business

First Name

STEVEN

Middle

ANDREW

Last Name

BROFSKY

Business Name

STEVEN ANDREW BROFSKY

Original Issue Date

10/04/2000

Effective Date

10/04/2000

Expiration Date

09/30/2002

City

LINCOLNSHIRE

State

Zip

60069

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005