JOSEPH H FILLMORE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

Last Name

FILLMORE

Suffix

Business Name

JOSEPH H FILLMORE MD

Original Issue Date

12/04/2001

Effective Date

05/18/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60601

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014