ANTHONY DAVID BRODY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

ANTHONY DAVID

Last Name

BRODY

Suffix

Business Name

ANTHONY DAVID BRODY MD

Original Issue Date

11/15/1991

Effective Date

11/15/1991

Expiration Date

07/31/1993

City

PEORIA

State

Zip

61602

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020