ROBERT STEPHEN BROSSARD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016885

License Status

EXPIRED

Business

Title

First Name

ROBERT

Middle

STEPHEN

Last Name

BROSSARD

Business Name

ROBERT STEPHEN BROSSARD MD

Original Issue Date

06/01/1984

Effective Date

06/01/1984

Expiration Date

05/01/1986

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006