BRODY ROTH STEWART MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036176421

License Status

ACTIVE

Business

Title

First Name

BRODY

Middle

ROTH

Last Name

STEWART

Business Name

BRODY ROTH STEWART MD

Original Issue Date

08/05/2025

Effective Date

08/05/2025

Expiration Date

07/31/2026

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

08/05/2025