SHARON L BROADBENT Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031328

License Status

EXPIRED

Business

First Name

SHARON

Middle

Last Name

BROADBENT

Business Name

SHARON L BROADBENT

Original Issue Date

05/20/1994

Effective Date

05/20/1994

Expiration Date

06/19/1995

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006