SCOTT BROCKMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073102

License Status

EXPIRED

Business

Title

First Name

SCOTT

Last Name

BROCKMAN

Business Name

SCOTT BROCKMAN MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

03/06/2024