LANA A DOXTATER 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

First Name

LANA

Middle

Last Name

DOXTATER

Business Name

LANA A DOXTATER

Original Issue Date

06/07/2004

Effective Date

06/07/2004

Expiration Date

07/31/2005

City

BERWYN

State

Zip

60402

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006