JOHN J BRODERICK Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****08

License Status

NOT RENEWED

Business

First Name

JOHN J

Last Name

BRODERICK

Business Name

JOHN J BRODERICK

Original Issue Date

01/01/1998

Expiration Date

09/01/1982

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/25/2006