JACOB A BRODY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071692

License Status

NOT RENEWED

Business

First Name

JACOB A

Last Name

BRODY

Suffix

Business Name

JACOB A BRODY MD

Original Issue Date

09/16/1985

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011