RODERICK S BRODHEAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

First Name

RODERICK S

Last Name

BRODHEAD

Suffix

Business Name

RODERICK S BRODHEAD MD

Original Issue Date

08/04/1983

Effective Date

08/04/1983

Expiration Date

07/31/2002

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

04/11/2017