LYNN S BRODERICK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022510

License Status

EXPIRED

Business

First Name

LYNN S

Last Name

BRODERICK

Suffix

Business Name

LYNN S BRODERICK MD

Original Issue Date

05/27/1988

Effective Date

05/27/1988

Expiration Date

07/01/1991

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006