MARLON LIM HERMITANIO 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

MARLON

Middle

LIM

Last Name

HERMITANIO

Suffix

Business Name

MARLON LIM HERMITANIO MD

Original Issue Date

06/22/1998

Effective Date

06/22/1998

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006