TERESITA L MARZAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

CANCELLED

Business

First Name

TERESITA L

Last Name

MARZAN

Suffix

Business Name

TERESITA L MARZAN MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006