HARVEY W BROOKMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

HARVEY W

Last Name

BROOKMAN

Suffix

Business Name

HARVEY W BROOKMAN MD

Original Issue Date

09/20/1985

Effective Date

09/20/1985

Expiration Date

07/31/1987

City

PEKIN

State

Zip

61554

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006