MERRICK JAY BROMBERG DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

First Name

MERRICK JAY

Last Name

BROMBERG

Suffix

Business Name

MERRICK JAY BROMBERG DO

Original Issue Date

01/01/1997

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023