DAVID DEAN BROCKMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

DAVID DEAN

Last Name

BROCKMAN

Suffix

Business Name

DAVID DEAN BROCKMAN MD

Original Issue Date

12/03/1985

Effective Date

07/14/2014

Expiration Date

07/31/2017

City

GLENVIEW

State

Zip

60025

County

COOK

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

11/01/2017