LYNN S BRODERICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

First Name

LYNN S

Last Name

BRODERICK

Suffix

Business Name

LYNN S BRODERICK MD

Original Issue Date

07/19/1990

Effective Date

07/19/1990

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017