TODD MARTIN BRICKMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

Title

First Name

TODD

Middle

MARTIN

Last Name

BRICKMAN

Business Name

TODD MARTIN BRICKMAN MD

Original Issue Date

04/14/2008

Effective Date

09/08/2011

Expiration Date

07/31/2014

City

SAINT LOUIS

State

Zip

63110

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014