MARY-ANNE PURTILL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

MARY-ANNE

Last Name

PURTILL

Business Name

MARY-ANNE PURTILL

Original Issue Date

10/30/1998

Effective Date

10/30/1998

Expiration Date

07/31/2002

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006