MICHAEL ALLAN BRODY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

First Name

MICHAEL ALLAN

Last Name

BRODY

Suffix

Business Name

MICHAEL ALLAN BRODY MD

Original Issue Date

04/25/2025

Effective Date

04/25/2025

Expiration Date

07/31/2026

City

MUNSTER

State

Zip

46321

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/25/2025