HEIDI SHARON BROOKENTHAL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

First Name

HEIDI

Middle

SHARON

Last Name

BROOKENTHAL

Suffix

Business Name

HEIDI SHARON BROOKENTHAL DO

Original Issue Date

10/24/2000

Effective Date

07/24/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2023