PETER W BROIDO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

PETER W

Last Name

BROIDO

Suffix

Business Name

PETER W BROIDO MD

Original Issue Date

06/28/1990

Effective Date

06/28/1990

Expiration Date

07/31/1993

City

WHEATON

State

Zip

60187

County

DUPAGE

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/05/2020