MICHAEL KEITH AUGUSTSON MD 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

MICHAEL KEITH

Last Name

AUGUSTSON

Suffix

Business Name

MICHAEL KEITH AUGUSTSON MD

Original Issue Date

09/10/1981

Effective Date

09/10/1981

Expiration Date

07/31/1987

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006