THOMAS P BRODERICK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025443

License Status

EXPIRED

Business

First Name

THOMAS

Middle

Last Name

BRODERICK

Business Name

THOMAS P BRODERICK

Original Issue Date

06/12/1990

Effective Date

06/12/1990

Expiration Date

06/30/1994

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006