HARLEY CALVIN BROOKS III MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

First Name

HARLEY

Middle

CALVIN

Last Name

BROOKS

Suffix

III MD

Business Name

HARLEY CALVIN BROOKS III MD

Original Issue Date

07/12/1999

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2023