CAROL L BROKSCHMIDT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

CAROL L

Last Name

BROKSCHMIDT

Suffix

Business Name

CAROL L BROKSCHMIDT MD

Original Issue Date

11/06/1989

Effective Date

11/06/1989

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006