M CARMEN C CUDIAMAT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

M CARMEN C

Last Name

CUDIAMAT

Business Name

M CARMEN C CUDIAMAT

Original Issue Date

01/30/1996

Effective Date

01/30/1996

Expiration Date

07/31/1996

City

OAKLAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006