SCOTT A BRODARICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069318

License Status

NOT RENEWED

Business

First Name

SCOTT A

Last Name

BRODARICK

Suffix

Business Name

SCOTT A BRODARICK MD

Original Issue Date

08/20/1984

Effective Date

08/20/1984

Expiration Date

07/31/1999

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

09/20/2006