BROOKE SUZANNE BENDER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

Title

First Name

BROOKE

Middle

SUZANNE

Last Name

BENDER

Business Name

BROOKE SUZANNE BENDER MD

Original Issue Date

08/05/2009

Effective Date

05/17/2011

Expiration Date

07/31/2014

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014