ELIZABETH BRODSKY PORTIN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

Title

First Name

ELIZABETH

Middle

BRODSKY

Last Name

PORTIN

Business Name

ELIZABETH BRODSKY PORTIN DO

Original Issue Date

06/09/2021

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/16/2023