CAROL L BROKSCHMIDT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019374

License Status

EXPIRED

Business

First Name

CAROL L

Last Name

BROKSCHMIDT

Suffix

Business Name

CAROL L BROKSCHMIDT MD

Original Issue Date

06/12/1986

Effective Date

06/12/1986

Expiration Date

06/25/1989

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006