JEFFREY D BRECKENRIDGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

JEFFREY D

Last Name

BRECKENRIDGE

Suffix

Business Name

JEFFREY D BRECKENRIDGE MD

Original Issue Date

07/21/1995

Effective Date

07/21/1995

Expiration Date

07/31/1996

City

HINSDALE

State

Zip

60521

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006