KATHRYN EISENHUT BROGAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

Title

First Name

KATHRYN

Middle

EISENHUT

Last Name

BROGAN

Business Name

KATHRYN EISENHUT BROGAN MD

Original Issue Date

08/30/2018

Effective Date

08/30/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021