MATTHEW SCOTT BRODHEAD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081439

License Status

ACTIVE

Business

First Name

MATTHEW

Middle

SCOTT

Last Name

BRODHEAD

Business Name

MATTHEW SCOTT BRODHEAD

Original Issue Date

06/22/2023

Effective Date

06/22/2023

Expiration Date

06/21/2026

City

MAYWOOD

State

Zip

60153

County

ADAMS

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

04/27/2023