KURT JEFFREY BROTHERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

ACTIVE

Business

First Name

KURT JEFFREY

Last Name

BROTHERSON

Suffix

Business Name

KURT JEFFREY BROTHERSON MD

Original Issue Date

01/01/1997

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2023