GAIL M BROTTMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

GAIL M

Last Name

BROTTMAN

Suffix

Business Name

GAIL M BROTTMAN MD

Original Issue Date

11/24/1986

Effective Date

11/24/1986

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020