GREGORY L BROTZMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

GREGORY L

Last Name

BROTZMAN

Suffix

Business Name

GREGORY L BROTZMAN MD

Original Issue Date

08/15/1985

Effective Date

08/15/1985

Expiration Date

07/31/1990

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006