ANGELA MICHELLE STURDIVANT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

Title

First Name

ANGELA

Middle

MICHELLE

Last Name

STURDIVANT

Business Name

ANGELA MICHELLE STURDIVANT MD

Original Issue Date

07/29/1991

Effective Date

07/29/1991

Expiration Date

07/31/2008

City

CRESTWOOD

State

Zip

60445

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011