ROBERT E BROCKMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

ROBERT E

Last Name

BROCKMAN

Suffix

Business Name

ROBERT E BROCKMAN MD

Original Issue Date

12/15/1989

Effective Date

10/31/2017

Expiration Date

09/30/2020

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021