BROOKE N SHADEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

Title

First Name

BROOKE

Middle

Last Name

SHADEL

Business Name

BROOKE N SHADEL MD

Original Issue Date

04/06/2011

Effective Date

04/06/2011

Expiration Date

07/31/2014

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017