CHAD S BROOKS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****21

License Status

NOT RENEWED

Business

First Name

CHAD

Middle

Last Name

BROOKS

Business Name

CHAD S BROOKS

Original Issue Date

01/04/2012

Effective Date

01/04/2012

Expiration Date

03/01/2014

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2014