PHILLIP BROTTMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

PHILLIP

Last Name

BROTTMAN

Suffix

Business Name

PHILLIP BROTTMAN MD

Original Issue Date

04/17/1985

Effective Date

05/13/2011

Expiration Date

07/31/2014

City

BARRINGTON

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014