MARCIA A BRONTMAN 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

MARCIA A

Last Name

BRONTMAN

Business Name

MARCIA A BRONTMAN

Original Issue Date

11/30/1992

Effective Date

11/30/1992

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020