JAMIE CATHERINE BROEKHUIZEN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

CATHERINE

Last Name

BROEKHUIZEN

Suffix

Business Name

JAMIE CATHERINE BROEKHUIZEN DO

Original Issue Date

03/20/2012

Effective Date

05/21/2014

Expiration Date

07/31/2017

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017