ANNE BOUISE WARD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

CANCELLED

Business

First Name

ANNE BOUISE

Last Name

WARD

Suffix

Business Name

ANNE BOUISE WARD MD

Original Issue Date

11/04/1994

Effective Date

05/13/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60607

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014