SALLY KATHLEEN COWLES Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

CANCELLED

Business

First Name

SALLY KATHLEEN

Last Name

COWLES

Business Name

SALLY KATHLEEN COWLES

Original Issue Date

08/12/1994

Effective Date

08/12/1994

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60601

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006