HEIDI SHARON BROOKENTHAL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039536

License Status

EXPIRED

Business

First Name

HEIDI

Middle

SHARON

Last Name

BROOKENTHAL

Suffix

Business Name

HEIDI SHARON BROOKENTHAL DO

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2001

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006