CAROLYN S BRECKLIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

CAROLYN S

Last Name

BRECKLIN

Suffix

Business Name

CAROLYN S BRECKLIN MD

Original Issue Date

06/16/1992

Effective Date

07/02/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017