MARK E BRODSKY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

BRODSKY

Business Name

MARK E BRODSKY

Original Issue Date

07/18/2006

Effective Date

07/18/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60624

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008