AUDREY A BROMBERGER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

AUDREY A

Last Name

BROMBERGER

Suffix

Business Name

AUDREY A BROMBERGER MD

Original Issue Date

02/18/1987

Effective Date

06/18/2008

Expiration Date

07/31/2011

City

LAGRANGE PARK

State

Zip

60526

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020