PAMELA J KROL 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

PAMELA

Middle

Last Name

KROL

Business Name

PAMELA J KROL

Original Issue Date

08/31/2005

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011