CAROL L BROKSCHMIDT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078025

License Status

NOT RENEWED

Business

First Name

CAROL L

Last Name

BROKSCHMIDT

Suffix

Business Name

CAROL L BROKSCHMIDT MD

Original Issue Date

10/18/1988

Effective Date

10/18/1988

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/23/2008