DWIGHT ST AUBYN TYNDALL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

DWIGHT ST AUBYN

Last Name

TYNDALL

Suffix

Business Name

DWIGHT ST AUBYN TYNDALL MD

Original Issue Date

07/17/1997

Effective Date

07/17/1997

Expiration Date

07/31/2005

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006