DAVID J BROCKMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021473

License Status

EXPIRED

Business

First Name

DAVID J

Last Name

BROCKMAN

Suffix

Business Name

DAVID J BROCKMAN MD

Original Issue Date

06/27/1987

Effective Date

06/27/1987

Expiration Date

07/01/1990

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006