MARK E BRODSKY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

BRODSKY

Business Name

MARK E BRODSKY

Original Issue Date

10/08/2003

Effective Date

10/08/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006