MARCIA A BRONTMAN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

First Name

MARCIA A

Last Name

BRONTMAN

Business Name

MARCIA A BRONTMAN

Original Issue Date

07/31/1992

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023