JEFFREY ARNOLD BRODY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

ARNOLD

Last Name

BRODY

Suffix

Business Name

JEFFREY ARNOLD BRODY MD

Original Issue Date

05/15/1998

Effective Date

05/15/1998

Expiration Date

07/31/2002

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006