JONATHAN J BRODIE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000135

License Status

EXPIRED

Business

First Name

JONATHAN

Middle

Last Name

BRODIE

Business Name

JONATHAN J BRODIE

Original Issue Date

05/25/1990

Effective Date

05/25/1990

Expiration Date

09/23/1990

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/25/2006