CAROLYN S BRECKLIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076834

License Status

NOT RENEWED

Business

First Name

CAROLYN S

Last Name

BRECKLIN

Suffix

Business Name

CAROLYN S BRECKLIN MD

Original Issue Date

03/22/1988

Effective Date

04/06/2020

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021