STEVEN MICHAEL BRODERICK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

Title

First Name

STEVEN

Middle

MICHAEL

Last Name

BRODERICK

Business Name

STEVEN MICHAEL BRODERICK MD

Original Issue Date

06/06/2019

Effective Date

07/10/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/10/2023