LAURIE G BROUTMAN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081979

License Status

ACTIVE

Business

First Name

LAURIE

Middle

Last Name

BROUTMAN

Business Name

LAURIE G BROUTMAN

Original Issue Date

01/04/1991

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

04/15/2023