BRUCE B BRODY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056905

License Status

INACTIVE

Business

First Name

BRUCE B

Last Name

BRODY

Suffix

Business Name

BRUCE B BRODY MD

Original Issue Date

06/28/1978

Effective Date

06/28/1978

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006