PHILLIP BROTTMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069818

License Status

NOT RENEWED

Business

First Name

PHILLIP

Last Name

BROTTMAN

Suffix

Business Name

PHILLIP BROTTMAN MD

Original Issue Date

11/07/1984

Effective Date

05/13/2011

Expiration Date

07/31/2014

City

BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

11/17/2014