HEIDI SHARON BROOKENTHAL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103288

License Status

ACTIVE

Business

First Name

HEIDI

Middle

SHARON

Last Name

BROOKENTHAL

Suffix

Business Name

HEIDI SHARON BROOKENTHAL DO

Original Issue Date

08/16/2000

Effective Date

07/24/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

07/24/2023