KAREN ELIZABETH BROQUET MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

KAREN ELIZABETH

Last Name

BROQUET

Suffix

Business Name

KAREN ELIZABETH BROQUET MD

Original Issue Date

12/15/1988

Effective Date

12/15/1988

Expiration Date

07/31/1993

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020