ANTHONY DAVID BRODY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059760

License Status

NOT RENEWED

Business

First Name

ANTHONY DAVID

Last Name

BRODY

Suffix

Business Name

ANTHONY DAVID BRODY MD

Original Issue Date

11/09/1979

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

01/14/2021