ANDREA S BROOKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

ANDREA S

Last Name

BROOKE

Suffix

Business Name

ANDREA S BROOKE MD

Original Issue Date

09/14/1984

Effective Date

09/14/1984

Expiration Date

07/31/1996

City

LAGRANGE

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017