JEAN ARMISHA AUZENNE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

JEAN

Middle

ARMISHA

Last Name

AUZENNE

Business Name

JEAN ARMISHA AUZENNE

Original Issue Date

03/28/2011

Effective Date

06/01/2011

Expiration Date

07/31/2014

City

HINES

State

Zip

60141

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020