MICHAEL ALLAN BRODY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

MICHAEL ALLAN

Last Name

BRODY

Suffix

Business Name

MICHAEL ALLAN BRODY MD

Original Issue Date

06/18/1996

Effective Date

06/18/1996

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017