JILL AIMEE ADDESA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

JILL

Middle

AIMEE

Last Name

ADDESA

Suffix

Business Name

JILL AIMEE ADDESA MD

Original Issue Date

05/16/2002

Effective Date

05/16/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006