JILL MARIE BRODY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

ACTIVE

Business

First Name

JILL MARIE

Last Name

BRODY

Suffix

Business Name

JILL MARIE BRODY MD

Original Issue Date

08/01/1994

Effective Date

06/26/2023

Expiration Date

07/31/2026

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/26/2023