ALYSSA AMERINA NASH-GOELITZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

CANCELLED

Business

First Name

ALYSSA

Middle

AMERINA

Last Name

NASH-GOELITZ

Suffix

Business Name

ALYSSA AMERINA NASH-GOELITZ MD

Original Issue Date

12/06/2004

Effective Date

12/06/2004

Expiration Date

07/31/2008

City

NORTH RIVERSIDE

State

Zip

60546

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008