JOAN D BROOKHYSER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

JOAN

Middle

Last Name

BROOKHYSER

Suffix

Business Name

JOAN D BROOKHYSER MD

Original Issue Date

10/25/2001

Effective Date

10/25/2001

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006