SUMMER AZMAT 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

Title

First Name

SUMMER

Last Name

AZMAT

Business Name

SUMMER AZMAT MD

Original Issue Date

07/20/2021

Effective Date

07/20/2021

Expiration Date

07/31/2023

City

AURORA

State

Zip

60504

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023