MONIQUE MAZAL BROTMAN Medical Doctor License verification

MONIQUE MAZAL BROTMAN

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109995

License Status

ACTIVE

Business

First Name

MONIQUE

Middle

MAZAL

Last Name

BROTMAN

Business Name

MONIQUE MAZAL BROTMAN

Original Issue Date

08/26/2003

Effective Date

01/24/2025

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

03/31/2025

Case Number

2018004201

Action

Probation

Discipline Start Date

12/23/2024

Discipline Reason

physician and surgeon license restored from suspended status to indefinite probation for a minimum of five years with multiple conditions due to failure to timely deliver a newborn in the presence of fetal distress resulting in neurological injury.