ANNACLAIRE BRODNICK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

Title

First Name

ANNACLAIRE

Last Name

BRODNICK

Business Name

ANNACLAIRE BRODNICK MD

Original Issue Date

04/12/2024

Effective Date

04/12/2024

Expiration Date

07/31/2026

City

NEWARK

State

Zip

07112

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2024