DAVID J BROCKMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079659

License Status

NOT RENEWED

Business

First Name

DAVID J

Last Name

BROCKMAN

Suffix

Business Name

DAVID J BROCKMAN MD

Original Issue Date

01/05/1990

Effective Date

01/05/1990

Expiration Date

07/31/1993

City

MIDLOTHIAN

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006