ROBERT STEPHEN BROSSARD 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

Title

First Name

ROBERT

Middle

STEPHEN

Last Name

BROSSARD

Business Name

ROBERT STEPHEN BROSSARD MD

Original Issue Date

01/11/1988

Effective Date

07/25/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60626

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021