IRWIN G BRODSKY 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

IRWIN G

Last Name

BRODSKY

Suffix

Business Name

IRWIN G BRODSKY MD

Original Issue Date

06/30/1993

Effective Date

06/30/1993

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