FREDERICK JOSEPH BRODEUR JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131476

License Status

NOT RENEWED

Business

Title

First Name

FREDERICK

Middle

JOSEPH

Last Name

BRODEUR

Suffix

Business Name

FREDERICK JOSEPH BRODEUR JR MD

Original Issue Date

09/21/2012

Effective Date

10/20/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017