HAROLD DWAYNE MARSHALL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

HAROLD

Middle

DWAYNE

Last Name

MARSHALL

Suffix

Business Name

HAROLD DWAYNE MARSHALL MD

Original Issue Date

08/29/1994

Effective Date

08/29/1994

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006