PAUL BRODZIK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

Title

First Name

PAUL

Last Name

BRODZIK

Business Name

PAUL BRODZIK MD

Original Issue Date

08/26/2020

Effective Date

08/26/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023