WILLIAM ROBERT BRODERICK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

First Name

WILLIAM

Middle

ROBERT

Last Name

BRODERICK

Suffix

Business Name

WILLIAM ROBERT BRODERICK MD

Original Issue Date

06/28/2011

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

PLAINFIELD

State

Zip

60585

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/21/2023